| Right ventricular perforation caused by pulmonary artery catheter at intensive care unit |
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InYoung Huh, DaeYoung Kim, MinHa Sung, MinHyun Lee, SunEun Park |
Correspondence:
MinHa Sung,
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| Abstract |
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Pulmonary artery catheter (PAC) is considered the useful hemodynamic monitoring tool in cardiac surgery and intensive care
unit (ICU). Placement of PAC has potential risks of complications, though. A various type of complications have been reported.
However, right ventricular perforation by PAC is rare finding. In this case, a 68-year-old woman with rheumatic aortic stenosis
and mitral stenosis was planned double valve replacement. PAC was not advanced in pulmonary artery during surgery. After
transferred ICU, PAC was advanced into right ventricle (RV) with ballooning. A large amount of bleeding and hemodynamic
instability was developed, and then, reoperation was decided. After median sternotomy, surgeon detected the protruding PAC
tip from the free wall of RV. Direct suture was performed, and catheter tip was withdrawn back into the RV cavity. It is important
to keep in mind that RV perforation could arise after PAC insertion and PAC should be gently handled. |
| Key Words:
Complication, Intensive care unit, Pulmonary artery catheter, Right ventricle perforation. |
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