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Canadian Journal of Anesthesia, Vol 32, 412-414, Copyright © 1985 by Canadian Anesthesiologists' Society

Bilateral Hydrothorax and Hydromediastinum after a Subclavian Line Insertion

MOHAMED NAGUIB MB BCH MSC1, HESHAM FARAG MB BCH FFARCS1, and RAVINDRA N. JOSHI MD1

1 Department of Anesthesiology, King Faisal University, King Fahd Hospital, P.O. Box 2208, Al Khobar 31952; Saudi Arabia

correspondence should be addressed to Dr. Naguib.

A 28-year-old male patient developed bilateral hydrothorax due to extravasation of fluid into the mediastinum from a subclavian line. The injection of radio-opaque dye through the central venous cannula confirmed spillage into the mediastinum. There was no direct communication between the central venous cannula and the pleural cavities. The hydrothorax appeared to develop as a result of a shift of fluid from the mediastinum into the pleural cavities due to pressure differences in the two compartments. Bilateral chest tubes were inserted, the subclavian cannula was removed and the patient made a good recovery.

Key Words: COMPLICATIONS; hydrothorax • VEINS: cannulation, subclavian, complications






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Copyright © 1985 by the Canadian Anesthesiologists' Society.