Unusual complication of retrograde coronary sinus perfusion with pulmonary artery catheter
Autor: | D. Kalshoven, Devanand Mangar, W Gonzalez, J Bray |
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Rok vydání: | 1993 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Cardiac Catheterization medicine.medical_treatment Pulmonary Artery Critical Care and Intensive Care Medicine Catheterization medicine.artery Internal medicine medicine Humans Derivation Heart Atria Coronary Artery Bypass Coronary sinus Cardiac catheterization Aged Sutures business.industry Pulmonary artery catheter Cannula Surgery Cardiac surgery Perfusion Catheter Pulmonary artery cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
Zdroj: | Chest. 103(5) |
ISSN: | 0012-3692 |
Popis: | A balloon-tipped catheter placed in the coronary sinus is used during cardiac surgery for retrograde cardioplegia and is secured by a purse string suture placed proximal to the atrioventricular groove in the lower right atrium. We report a complication of this procedure where a pulmonary artery catheter was sutured to the wall of the right atrium by the purse string suture in a patient scheduled for aortocoronary bypass grafting. Pulsatile resistance was noted when we attempted to withdraw the catheter indicating an attachment to the heart. The pulmonary artery catheter within the vascular space after atrial cannulation should be checked since the sheath-protected cannula will enable free mobility. |
Databáze: | OpenAIRE |
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