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Korean Journal of Anesthesiology 2005;48(2):202-206.
DOI: https://doi.org/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.
Sung Moon Jeong, Hwan Hi Lee, Yong Bo Jeong, In Cheol Choi
1Department of Anesthesiology and Pain Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea. icchoi@amc.seoul.kr
2Gangneung Asan Medical Center, Gangneung, Korea.
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 So the advanced venous access device was withdrawn about 5 cm and the PA catheter was advanced easily to the destination.
Key Words: advanced venous access device; kinking; minimally invasive robot-assisted thoracotomy; pulmonary artery catheter; superior vena cava cannula


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