Transvenous recovery of a foreign body inside the lumen of the segmental branches of the right pulmonary artery tree

Calvagna, Giuseppe Mario; Patanè, Salvatore; Celona, A.; Inserra, Maria Cristina; Vasquez, Ludovico; Romeo, Placido

doi:10.1016/j.ijcard.2016.03.101

Cited by 1 publication

(1 citation statement)

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“…Although sometimes a challenge for radiologists or cardiologists, 3 non-surgical attempts to approach a foreign body (including fragments of misplaced medical devices) are generally effective under circumstances where the patient is stable, there is no acute massive hemorrhage from the damaged tissue, and backup physicians (ICU doctors and surgeons) are available. Objects embedded in the vessel wall are at high risk of rupturing and causing major hemorrhage and in such cases, it is mandatory to have an intensive care unit and cardiothoracic surgical department available as backup before starting treatment.…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of a foreign body in the pulmonary artery

Sakai

Uehara

Takahashi

et al. 2018

Trauma

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Foreign bodies, such as a fragmented catheter or metallic objects from industrial accidents, that have accidentally entered a major cardiac vessel or pulmonary artery have been successfully removed non-surgically via intravenous catheterization. We report the rare case of a cracked iron hammer fragment that had entered the femoral vein and migrated to the pulmonary artery through major blood vessels without causing hemorrhage, which eventually required surgical removal. A 19-year-old man accidentally smashed an iron hammer that broke into small pieces, one of which entered his femoral vein and eventually lodged in the pulmonary artery. After non-surgical intravenous catheterization to remove this foreign body was unsuccessful, it was removed surgically under video-assisted thoracoscopy. Foreign body residue over the long term can cause hemorrhage, pulmonary infarction, infection, and/or abscess. Transvenous recovery is the primary nonsurgical means of removing a foreign body from the pulmonary artery. It is less harmful than surgical removal and causes fewer complications. Nevertheless, it is essential to be ready to execute a surgical approach for foreign body removal when other interventions have failed.

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Section: Discussionmentioning

confidence: 99%