Emergency chest exploration and repair of the right internal jugular
vein during Extracorporeal Membrane Oxygenator institution
Abstract
A 38-year-old female with severe septic shock and multiorgan failure
secondary to MDR-ESBL E. coli secondary to septic abortion. She had a
miscarriage at 22 weeks of gestation after IVF pregnancy, complicated by
cervical tear, developed ARDS, required ventilation, ECMO and CRRT. She
had an ECMO cannula induced tear in the right internal jugular vein 1 cm
before joining the subclavian vein to form the innominate vein. She had
a cardiac arrest after extracorporeal membrane oxygenation (ECMO)
institution, required resuscitation. The iatrogenic Rt Internal jugular
vein tear was managed in the cardiac operating room. She was well
managed by a multidisciplinary team in the ICU and after a prolonged ICU
stay, she was discharged to home.