Perfusion
. 2026 May;41(1_suppl):173S-175S.
doi: 10.1177/02676591261420651. Epub 2026 May 5. https://pubmed.ncbi.nlm.nih.gov/42087620/
Left subclavian canulation in a newborn with right sided congenital diaphragmatic hernia: A case report
Julie Starck 1, Pauline Clermidi 2, Khaldoun Farhat 3, Pauline Leroux 1, Cyril Guillier 1, Yohan Soreze 1, Pierre Louis Léger 1, Jerome Rambaud 1
Affiliations Expand
- PMID: 42087620
- DOI: 10.1177/02676591261420651
Abstract
Venous cannulation can be challenging in newborns, especially those under 3 kg or presenting with vascular malformations. Left subclavian vein cannulation is an alternative site described in adults and infants. We report the first neonatal case of left subclavian cannulation as a last-resort venous access in a newborn presenting with a right-sided congenital diaphragmatic hernia associated with right internal jugular vein malformation. The patient required extracorporeal membrane oxygenation (ECMO) support in the context of refractory septic shock at day 6 of life. ECMO was weaned after 16 days, and cannula was removed without bleeding complications. This alternative venous access may be a viable option for venous cannulation in cases where the right jugular vein is unavailable.
Keywords: ECMO; canulation; diaphragmatic hernia; left subclavian; newborn; septic shock.
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