TY - JOUR
T1 - Right ventricular perforation
T2 - A rare complication of pulmonary artery catheterization
AU - Ahsan, Khalid
AU - Hamid, Mohammad
AU - Fatimi, Saulat
AU - Hidayat, Ijaz
PY - 2014
Y1 - 2014
N2 - A 70 years old male underwent Coronary Artery Bypass and Graft (CABG) surgery. After induction, a Pulmonary Artery Catheter (PAC) was inserted via right IJV with some difficulty in achieving PA tracing. During distal RCA anastomosis, surgeon noticed PAC tip coming out of Right Ventricular (RV) surface. Resistance was felt on trying to pull PAC, so it was left there. Cardiac surgeon then opened the Right Atrium (RA) and pulled out the catheter. Multiple attempts during insertion of PA catheter should always raise the suspicion of PAC tip slipping back into the RV. It should be closely monitored during surgery and communicated to the surgeon.
AB - A 70 years old male underwent Coronary Artery Bypass and Graft (CABG) surgery. After induction, a Pulmonary Artery Catheter (PAC) was inserted via right IJV with some difficulty in achieving PA tracing. During distal RCA anastomosis, surgeon noticed PAC tip coming out of Right Ventricular (RV) surface. Resistance was felt on trying to pull PAC, so it was left there. Cardiac surgeon then opened the Right Atrium (RA) and pulled out the catheter. Multiple attempts during insertion of PA catheter should always raise the suspicion of PAC tip slipping back into the RV. It should be closely monitored during surgery and communicated to the surgeon.
KW - Coronary artery bypass
KW - Graft surgery
KW - Pulmonary artery catheter
KW - Right ventricle perforation
UR - http://www.scopus.com/inward/record.url?scp=84918839357&partnerID=8YFLogxK
M3 - Article
C2 - 25518759
AN - SCOPUS:84918839357
SN - 1022-386X
VL - 24
SP - S166-S168
JO - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
ER -