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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 45-48. doi: https://doi.org/10.4266/kjccm.2012.27.1.45
삼첨판 수술 시 발생한 매듭지어진 폐동맥 카테터 -증례 보고-
이경천ㆍ정월선ㆍ김용범ㆍ이지연
가천의과학대학교 길병원 마취통증의학교실
Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery: A Case Report
Kyung Chen Lee, Wol Seon Jung, Yong Beom Kim, Ji Yeon Lee
Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. easy95@gilhospital.com
ABSTRACT
The use of pulmonary artery catheter can be helpful in managing patients after cardiac surgery. Nevertheless, there is a risk of serious complications, such as knotting. A 61 year old man underwent tricuspid valve replacement under cardiopulmonary bypass (CPB). After implantation of a stented tissue valve in the tricuspid valve, repositioning of the catheter was performed. After weaning from CPB, an abnormal pattern of pulmonary artery pressure was suddenly observed on the monitor. Resistance was met when removing the catheter with the balloon deflated, at a 20 cm distance from the tip of the catheter. Chest radiography showed a knot in the catheter within the right brachiocephalic vein. Superior vena cava opened and the distal part of the catheter with the knot was successfully removed.
Key Words: complication; knotting; pulmonary artery catheter; surgical removal
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