Entrapment of pulmonary artery catheter in superior vena caval cannulation site during cardiac surgery
Abstract
A pulmonary artery catheter (PAC) is a useful tool for monitor haemodynamics during cardiac surgery in patients with compromised ventricular function and helps in the perioperative patient management. During open heart surgery entrapment of a Swan-Ganz catheter to an intracardiac structure is rare but may lead to potentially life-threatening complications. Here, we report a case of an entrapped pulmonary artery catheter by accidental surgical suturing at the entry point of Superior vena cava into right atrium that necessitated reopening the chest and removing the catheter.
Downloads
References
Block PC. Snaring of a Swan-Ganz catheter. J Thorac Cardiovasc Surg. 1976 Jun;71(6):917-9.
Huang L, Elsharydah A, Nawabi A, Cork RC. Entrapment of pulmonary artery catheter in a suture at the inferior vena cava cannulation site. J Clin Anesth. 2004 Nov;16(7):557-9.doi: https://doi.org/10.1016/j.jclinane.2004.02.003.
Kaplan M, Demirtas M, Cimen S, Kut MS, Ozay B, Kanca A, Ozler A. Swan-Ganz catheter entrapment in open heart surgery. J Card Surg. 2000 Sep-Oct;15(5):313-5.doi: https://doi.org/10.1111/j.1540-8191.2000.tb00463.x.
S. Deneu, J. Coddens, and T. Deloof. Catheter entrapment by atrial suture during minimally invasive portaccess cardiac surgery. Canadian Journal of Anaesthesia. 1999; 46: 983–86.doi: https://doi.org/10.1007/bf03013136.
Klockgether-Radke A, Rathgeber J, Lange H. [Inadvertant intracardiac entrapment of a Swan-Ganz catheter]. Anaesthesist. 1995 Feb;44(2):116-8.doi: https://doi.org/10.1007/s001010050138.