Korean J Anesthesiol.  2006 Oct;51(4):486-489. 10.4097/kjae.2006.51.4.486.

Entrapment of Pulmonary Artery Catheter in the Purse-String Suture at the Inferior Vena Cava Cannulation Site: A case report

• Kim IS
• Lee YC
• Kim JM

• KMID: 2045370
• DOI: http://doi.org/10.4097/kjae.2006.51.4.486

Abstract

A 63-year-old female with mitral stenoinsufficiency (stenosis and insufficiency) underwent mitral valve replacement. Under general anesthesia, pulmonary artery catheter (PAC) was inserted via the right internal jugular vein. Because the PAC function was normal in perioperative period we didn't recognize the entrapment of the PAC. But on attempting reposition of catheter in postoperative period, we encountered resistance, and postoperative chest X-ray revealed the catheter formed acute angle near right atrial wall. We suspected entrapment of PAC and decided to repeat sternotomy to release the PAC. We found the PAC encircled in the purse-string suture at the inferior vena cava cannulation site. The PAC was removed without any complications.

Keyword

complication; entrapment; pulmonary artery catheter

MeSH Terms

Anesthesia, General
Catheterization*
Catheters*
Female
Humans
Jugular Veins
Middle Aged
Mitral Valve
Perioperative Period
Postoperative Period
Pulmonary Artery*
Sternotomy
Sutures*
Thorax
Vena Cava, Inferior*