Perforation of the left ventricle wall due to the insertion of a pulmonary artery catheter. A case report
| Autor: | B. Quintana-Villamandos, P. Benito-Saz, J. Hortal, L. Fernandez-Quero, A. Garrido, J.M. Barrio |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Perforation (oil well) Pulmonary artery catheter Hemodynamics General Medicine 030204 cardiovascular system & hematology Swan Ganz Catheter 03 medical and health sciences Patient safety 0302 clinical medicine medicine.anatomical_structure Internal medicine medicine.artery Pulmonary artery medicine Cardiology 030212 general & internal medicine Interventricular septum business Complication |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 66:528-532 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2019.06.006 |
| Popis: | Despite the widespread and frequent use in our setting of pulmonary artery catheters for haemodynamic management in critically ill patients, particularly after heart surgery, some experts continue to question the need for these devices. Clinicians need to weigh up the risks and benefits of pulmonary artery catheters placement and bear in mind the potential complications which, though rare, can be potentially fatal. We present a pulmonary artery catheters-related complication not hitherto described in the literature, involving perforation of the interventricular septum and left ventricular free wall caused by a kink in the pulmonary artery catheters that was not suspected, and only diagnosed by direct vision of the heart after pericardial opening. In the interest of patient safety, we must consider the impact of adverse events; improving our situational awareness and our understanding of the mechanisms behind such events can help reduce the likelihood of repetitions in the future. |
| Databáze: | OpenAIRE |
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