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Eur J Cardiothorac Surg 2002;21:946-947
© 2002 Elsevier Science NL

Case report

Tracheal stenosis caused by false aneurysm of the right subclavian artery

^a Department of Thoracic Surgery, Freiburg University Hospital, Hugstetter Strasse 55, 79106 Freiburg, Germany
^b Department of Radiology, Freiburg University Hospital, Hugstetter Strasse 55, 79106 Freiburg, Germany
^c Department of Cardiovascular Surgery, Freiburg University Hospital, Hugstetter Strasse 55, 79106 Freiburg, Germany

Received 7 January 2002; received in revised form 8 February 2002; accepted 12 February 2002.

* Corresponding author. Tel.: +49-761-270-2457; fax: +49-761-270-2499
e-mail: docmaho{at}gmx.de

The development of tracheal stenosis following insertion of a central venous catheter is a rare complication of this procedure. We present the case of an 81-year-old woman, who suffered acute onset of dyspnea, stridor and dysphagia 4 weeks after coronary artery bypass surgery. Investigations revealed a false aneurysm of the right subclavian artery, compressing the trachea and the oesophagus. The iatrogenic lesion was caused by the insertion of a central venous catheter via the right subclavian route. By the time symptoms developed the catheter had already been removed.

Key Words: Tracheal stenosis • False aneurysm • Central venous catheter