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Title: Acute obstruction of craniocervical venous drainage in a lung-transplant patient.
Authors: Shimizu, Satoshi  kyouindb  KAKEN_id
Koyama, Tomohiro
Mizota, Toshiyuki  kyouindb  KAKEN_id  orcid (unconfirmed)
Fukuda, Kazuhiko  kyouindb  KAKEN_id
Author's alias: 清水, 覚司
Keywords: central venous catheter
jugular vein system
lung transplantation
Issue Date: Dec-2014
Publisher: Elsevier Inc.
Journal title: Journal of cardiothoracic and vascular anesthesia
Volume: 28
Issue: 6
Start page: 1586
End page: 1588
Abstract: CENTRAL VENOUS CATHETER (CVC)-related thrombosis is a well-described complication. Although most patients with CVC-related thrombosis remain asymptomatic, 1 acute obstruction of craniocervical drainage is potentially life-threatening.2 and 3 This report describes a rare case of a patient with severe craniofacial congestion during staged chest closure 4 days after bilateral lung transplantation. Vascular studies revealed a massive thrombosis of the right internal jugular vein (IJV) and chronic obstruction of the innominate vein, possibly related to the CVC. The potential effect of acute obstruction of the IJV system on clinical outcome and the importance of confirming the patency of craniocervical venous drainage when selecting pulmonary artery catheter (PAC) and CVC insertion sites, especially in patients with a history of CVC placement, are discussed.
Rights: © 2014 Elsevier Inc.
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
DOI(Published Version): 10.1053/j.jvca.2013.04.018
PubMed ID: 24035061
Appears in Collections:Journal Articles

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