Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery

  • Thomas JahnkeEmail author
  • Phillip Jost Schaefer
  • Martin Heller
  • Stefan Mueller-Huelsbeck
Case Report


We report a case of massive hemothorax due to inadvertent puncture of an aberrant right subclavian artery during central venous access. Iatrogenic laceration at the origin of the right internal thoracic artery was successfully treated with coil embolization of the internal thoracic artery followed by stent-graft placement into the subclavian artery. Due to its elongated and abnormal course, an aberrant right subclavian artery may predispose to inadvertent puncture during vein catheterization and should be recognized as a potential threat for such procedures. Our case emphasizes that ultrasound guidance should be used routinely for central venous lines wherever possible.


Complication Massive hemothorax Aberrant right subclavian artery Central venous catheterization Ultrasound guidance 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Thomas Jahnke
    • 1
    • 2
    Email author
  • Phillip Jost Schaefer
    • 1
  • Martin Heller
    • 1
  • Stefan Mueller-Huelsbeck
    • 1
  1. 1.Klinik für Diagnostische RadiologieUniversity Hospital Schleswig-HolsteinCampus KielGermany
  2. 2.Department of RadiologyUniversity Hospital Schleswig-HolsteinCampus KielGermany

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