Korean J Anesthesiol.  2005 Feb;48(2):202-206. 10.4097/kjae.2005.48.2.202.

Kinking of the Advanced Venous Access Device during Insertion of the Superior Vena Cava Cannula and the Pulmonary Artery Catheter in the Minimally Invasive Robot-assisted Cardiac Surgery: A case report

• Jeong SM
• Lee HH
• Jeong YB
• Choi IC

• KMID: 2238387
• DOI: http://doi.org/10.4097/kjae.2005.48.2.202

Abstract

A 59-year-old woman was scheduled for mitral valvuloplasty and Maze operation. As operation was planed to use the robotically controlled camera (Aesop 3000, Computermotion(r), USA) for the minimally invasive robot-assisted thoracotomy, a superior vena cava (SVC) cannula (Femoral arterial cannula [21 Fr], Medtronic(r), USA) was inserted in the right internal jugular vein. After insertion of the SVC cannula, a pulmonary artery (PA) catheter (Swan-Ganz CCOmbo V [7.5 Fr], Edwards(r), USA) was inserted through an advanced venous access device (AVA 3Xi [8.5 Fr], Edwards(r), USA) in the right subclavian vein. The tip of the PA catheter could not be advanced into SVC and blood was not regurgitated. In the chest AP X-ray, it was found that the advanced venous access device was kinked by the SVC cannula. So the advanced venous access device was withdrawn about 5 cm and the PA catheter was advanced easily to the destination.

Keyword

advanced venous access device; kinking; minimally invasive robot-assisted thoracotomy; pulmonary artery catheter; superior vena cava cannula

MeSH Terms

Catheters*
Female
Humans
Jugular Veins
Middle Aged
Pulmonary Artery*
Subclavian Vein
Thoracic Surgery*
Thoracotomy
Thorax
Vena Cava, Superior*