Perforation of the right ventricle by a pulmonary artery catheter that continues to measure cardiac output and mixed venous saturation

Chuang, Kuan-Chih; Lan, Albert Kok-Mao; Luk, Hsiang Ning; Wang, Chi-Shien; Huang, Chia-Jung; Cheng, Kok-Wei; Lin, Kun‐Chen; Jawan, Bruno

doi:10.1016/j.jclinane.2004.05.008

Cited by 4 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During PAC insertion, care must be taken so as to inflate the balloon as soon as the atrial curve is noticed in the monitor, in order to avoid endocardial lesion in the tricuspid valve, as well as in the right atrium and ventricle. It has been suggested that the presence of a pulmonary artery pressure waveform and the ability to measure cardiac output and mixed venous oxygen saturation from the PAC do not exclude the possibility that it could still be perforating the right ventricle [17]. In our case, we noticed technical difficulties concerning visualization of the RV curve and therefore to monitor the catheter advance.…”

Section: Discussionmentioning

confidence: 82%

Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature

Auxiliadora‐Martins

Santos

Wenzinger

et al. 2009

Case Reports in Medicine

View full text Add to dashboard Cite

We report a case of a 45-year-old male patient diagnosed with liver cirrhosis by hepatitis C and alcohol, with a Child-Pugh score C and a model for end-stage liver disease (MELD) score of 27, and submitted to liver transplantation. The subject underwent insertion of the pulmonary artery catheter (PAC) in the right internal jugular vein, with technical difficulty concerning catheter advance. There was sudden hypotension, increase in central venous pressure (CVP), and decrease in SvO2 15 minutes after the PAC had been inserted, followed by cardiorespiratory arrest in pulseless electrical activity (PEA), which was promptly assisted with resuscitation. Pericardiocentesis was performed without success, so the individual was subjected to a subxiphoid pericardial window, which led to output of large amounts of blood as well as PEA reversal to sinus rhythm. Sternotomy was performed; rupture of the apex of the right ventricle (RV) was detected, and suture of the site was accomplished. After hemodynamic stabilization, the patient was transferred to the ICU, where he developed septic shock and, despite adequate therapy, died on the eighteenth day after ICU admission.

show abstract

Section: Discussionmentioning

confidence: 82%

Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature

Auxiliadora‐Martins

Santos

Wenzinger

et al. 2009

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…Right ventricle perforation frequently caused by central venous catheters [1], pacemaker implantation [2], endomyocardial biopsy after cardiac transplantation [3,4], pulmonary artery catheterization [5,6,[11][12][13][14][15][16][17], cardiac trauma [7], congenital heart surgery [8], RV myocardial infarction [9].…”

Section: Discussionmentioning

confidence: 99%

“…Described complications are arrhythmias, knotting of the catheter [20], perforations of superior vena cava, right atrium, RV [5,[11][12][13][14][15][16][17] and pulmonary artery [18,21,22]. They have a incidence of 0.03% to 1% of all cases [21].…”

Section: Discussionmentioning

confidence: 99%

“…Patient was well all over this period and he was able to be discharged. There are 8 reports for cardiac tamponade related with Swann Ganz catheter [5,[11][12][13][14][15][16][17] but there is no case of post Swann-Ganz RV pseudoaneurysm in the literature. In addition, it is the unique case in the literature which its clinical course is followed by echocardiographically and not treated by surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Story of a Little Right Ventricular Pseudoaneurysm

Uluçam¹

2012

OJMI

View full text Add to dashboard Cite

Cardiac trauma caused by Swann-Ganz catheter may very rarely cause cardiac perforation, tamponade and right ventricular pseudoaneurysm. In contrast to left ventricular equivalants, pseudoaneurysms of the RV have a weak tendency to rupture. Its impact on patient outcomes should be assesed very carefully depending on its size, filling rate/capacity. It is possible not to operate the patient and follow progression of RV pseudoaneurysm by clinical and echocardiographic findings. This case is a good sample for it and describes the lifespan of a small RV pseudoaneurysm. It is not only the unique right ventricle pseudoaneurysm due to cardiac trauma caused by Swann Ganz catheter, but medically treated case without surgery and recovered completely.

show abstract

Right Ventricular Perforation Caused by Pulmonary Artery Catheter Three Days after Insertion in a Patient with Acute Pulmonary Embolism

Ohira

Matsushita

Masuda

et al. 2013

Heart, Lung and Circulation

View full text Add to dashboard Cite

Perforation of the right ventricle by a pulmonary artery catheter that continues to measure cardiac output and mixed venous saturation

Cited by 4 publications

References 8 publications

Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature

Perforation of the Right Ventricle Induced by Pulmonary Artery Catheter at Induction of Anesthesia for the Surgery for Liver Transplantation: A Case Report and Reviewed of Literature

Story of a Little Right Ventricular Pseudoaneurysm

Right Ventricular Perforation Caused by Pulmonary Artery Catheter Three Days after Insertion in a Patient with Acute Pulmonary Embolism

Contact Info

Product

Resources

About