January 1977

Delayed Perforation of the Innominate Vein During Hyperalimentation

Author Affiliations

From the Department of Surgery, Massachusetts General Hospital, Boston.

Arch Surg. 1977;112(1):96. doi:10.1001/archsurg.1977.01370010098021

• Mechanical complications of central vein catheterization for hyperalimentation typically become manifest shortly after insertion. We present a case report describing a delayed innominate vein perforation by a central venous catheter. Use of the adult internal jugular vein for central venous catheterization should be limited to situations in which a subclavian vein is unavailable. Ongoing watchfulness and a vigorous diagnostic and therapeutic approach to such complications are mandatory in the treatment of patients receiving total parenteral nutrition.

(Arch Surg 112:96, 1977)