Abstract
Retrograde aortic dissections can be a complication of vascular procedures. We describe a case of an inadvertent cannulation of the right common carotid artery during an attempt at inserting a pulmonary artery catheter. This resulted in dissection of the right common carotid, subclavian, and innominate arteries. Transesophageal echocardiography was able to visualize a retrograde dissection extending back into the ascending aorta.
MeSH terms
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology
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Aortic Aneurysm / diagnostic imaging*
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Aortic Aneurysm / etiology
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Aortic Dissection / diagnostic imaging*
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Aortic Dissection / etiology
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Arteriovenous Fistula / diagnostic imaging
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Arteriovenous Fistula / etiology
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Brachiocephalic Trunk / diagnostic imaging
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Brachiocephalic Trunk / injuries
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Carotid Artery Diseases / diagnostic imaging
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Carotid Artery Diseases / etiology
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Carotid Artery Injuries*
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Catheterization, Swan-Ganz / adverse effects*
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Catheterization, Swan-Ganz / instrumentation
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Echocardiography, Transesophageal*
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Female
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Humans
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Jugular Veins / diagnostic imaging
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Jugular Veins / injuries
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Middle Aged
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Monitoring, Intraoperative
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / injuries
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Thrombosis / diagnostic imaging
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Thrombosis / etiology
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Tunica Intima / diagnostic imaging
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Tunica Intima / injuries