Anesth Pain Med.  2016 Jan;11(1):68-70. 10.17085/apm.2016.11.1.68.

Right ventricle perforation after Swan-Ganz catheterization in a patient undergoing CABG surgery: A case report

• Kim JE
• Kim DG
• Koo MS
• Kim GH
• Kwon MY

• KMID: 2169077
• DOI: http://doi.org/10.17085/apm.2016.11.1.68

Abstract

We report an extremely rare case of right ventricle perforation by a Swan-Ganz catheter during open heart surgery. Even when pulmonary artery catheters are inserted with the utmost care, serious complications such as hematoma formation, pneumothorax, hemothorax, perforation of the cardiac chambers, and rupture of the pulmonary artery may occur. We present a case of primary closure of a right ventricle perforation discovered during coronary artery bypass graft surgery. In this case, the Swan-Ganz catheter was found penetrating the anterior wall of the right ventricle during the surgery. The location of the Swan-Ganz catheter, the stiffness of the catheter caused by hypothermia, and excessive surgical manipulation were supposed to be the etiologies. Therefore, the location of the Swan-Ganz catheter and increased stiffness from hypothermia should be taken into consideration during heart surgery.

Keyword

Coronary artery bypass graft surgery; Right ventricle perforation; Swan-Ganz catheter

MeSH Terms

Catheterization, Swan-Ganz*
Catheters
Coronary Artery Bypass
Heart Ventricles*
Hematoma
Hemothorax
Humans
Hypothermia
Pneumothorax
Pulmonary Artery
Rupture
Thoracic Surgery
Transplants

Figure

• 

  Fig. 1 The tip of the Swan-Ganz catheter was found protruding from the anterior wall of the right ventricle (white arrow). RV: right ventricle, RA: right atrium.

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