The supraclavicular approach of subclavian vein catheterization is associated with the lowest incidence of malposition. We report two cases of unusual malpositions seen during central venous cathelerization of subclavian vein via supraclavicular approach. Literature search did not reveal such malpositions. The possible cause for the malposition and method to prevent it is discussed.

A patient is described who developed a right pneumothorax and a left hydrothorax following percutaneous subclavian vein cannulation. The prevention, diagnosis and treatment of this complication are discussed.

Case Presentation A 90-year-old woman who underwent coronary artery bypass graft surgery 15 years ago was brought to the Emergency Department from her assisted living facility after developing chest pain, dyspnea, and diaphoresis. On arrival, she continued to have chest pain and exhibited signs of congestive heart failure. Her ECG revealed 2-mm ST-segment depressions across the precordium assoc...

Tumescent local anesthesia (TLA), originally developed for liposuction, has found widespread application. We report a case of peripheral arterial bypass grafting under TLA. The patient was an 84-year-old female diagnosed as having coronary subclavian steal syndrome caused by proximal left subclavian artery stenosis. Because she had several risk factors for general anesthesia, we performed axill...

We present an unusual case of coronary-subclavian steal syndrome, in the context of chronic total occlusion of native left and right coronary arteries that threatened global myocardial blood flow. The patient was a 55-year-old woman, a smoker, who presented with hypertension, obesity, and dyslipidemia. She was attended at the hospital because of progressive angina and anteroinferior ischemia, d...

The authors are presenting two patients with subclavian steal syndrome successfully treated by axillo-axillary bypass or by percutaneous transluminal angioplasty, and discuss the choice of procedures for the correction of the subclavian steal syndrome. The first patient was a 48-year-old man complaining of easy fatiguability of the right arm and ver tigo. No neurological abnormality was found, ...