• The present case report details a previously unreported complication of subclavian vein catheterization, vertebral artery pseudoaneurysm. Attention to this problem was brought about in the patient by the development of stridor and dysphagia noted 5 days following placement of the subclavian catheter. A computed tomographic scan of the neck revealed a superior mediastinal, contrast-enhancing mass in the region of the right subclavian artery with a "bull's-eye" sign suggestive of a pseudoaneurysm. Arteriography subsequently proved the pseudoaneurysm to be of vertebral origin. The pseudoaneurysm was ligated via a neck incision together with a median sternotomy to obtain vascular control. The evaluation and treatment options of this problem are discussed.
(Arch Surg. 1990;125:546-547)
Amaral JF, Grigoriev VE, Dorfman GS, Carney WI. Vertebral Artery PseudoaneurysmA Rare Complication of Subclavian Artery Catheterization. Arch Surg. 1990;125(4):546-547. doi:10.1001/archsurg.1990.01410160134026