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Suture of the right internal jugular vein catheter in a mitral valve replacement: a case report

Haiying Kong1, Shasha Chen, Xiaohong Wen

  • 1Department of Anesthesiology, the First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou 310003, PR China. hzkhy@163.com.

Journal of Medical Case Reports
|May 1, 2014
PubMed

Insights

Central venous catheterization during cardiac surgery carries a rare risk of accidental suturing to the heart. This case demonstrates successful removal of a sutured central venous catheter without cardiopulmonary bypass.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Complications
  • Anesthesiology

Background:

  • Central venous catheterization is a common procedure in cardiac surgery.
  • Accidental suturing of the catheter to the heart is a rare but serious complication.
  • Potential consequences include cardiac damage and mortality.

Observation:

  • A 56-year-old woman undergoing mitral valve replacement experienced accidental suturing of her central venous catheter.
  • The catheter was sutured to the left atrial suture line.
  • The catheter was successfully removed without cardiopulmonary bypass.

Findings:

  • Accidental suturing can occur when the catheter tip is near the atrial-caval junction.
  • Careful attention during left atrial incision closure is crucial.
  • Successful catheter removal is possible without additional cardiac insult.

Implications:

  • Highlights the importance of vigilance during central venous catheter placement in cardiac surgery.
  • Suggests specific precautions during mitral valve replacement closure.
  • Emphasizes the need for a tailored approach to managing this rare complication to preserve cardiac function.
Abstract

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