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Korean J Anesthesiol > Volume 51(4); 2006 > Article
Korean Journal of Anesthesiology 2006;51(4):486-489.
DOI: https://doi.org/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.
In Soo Kim, Yong Cheol Lee, Jin Mo Kim
Department of Anesthesiology and Pain Medicine, School of Medicine, Keimyung University, Daegu, Korea. kimjin00@dsmc.or.kr
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.
Key Words: complication; entrapment; pulmonary artery catheter
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