Fatal superior vena cava rupture complicating dialysis catheter exchange

In this report, we describe a case of a 25-year-old woman who presented with an extensive history of multiple dialysis access failure for left internal jugular vein central venous tunneled catheter exchange. The procedure was complicated by a fatal superior vena cava rupture likely related to the dislodgment of the guidewire causing perforation into the pericardium space with subsequent cardiopulmonary collapse. The post-mortem autopsy showed severe organized stenosis of SVC and transmural defect above the SVC/atrial junction.PMID:38166439 | DOI:10.1177/11297298231219288
Source: The Journal of Vascular Access - Category: Surgery Authors: Source Type: research