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Tricuspid valve Swan-Ganz catheter entrapment before cardiac surgery

S Colombier1, V Rancati2, C Marcucci2

  • 1Department of Cardiovascular Surgery Lausanne University Hospital Switzerland.

Anaesthesia Reports
|November 20, 2020
PubMed

Insights

A Swan-Ganz catheter became entrapped in the tricuspid valve during cardiac surgery. Immediate transesophageal echocardiography diagnosis prevented further damage, leading to surgical removal.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Devices

Background:

  • Swan-Ganz catheters are used for hemodynamic monitoring during cardiac surgery.
  • Catheter insertion carries inherent risks, including potential complications within the heart.

Purpose of the Study:

  • To report a rare case of Swan-Ganz catheter entrapment in the tricuspid valve.
  • To highlight the importance of rapid echocardiographic diagnosis in managing such complications.

Main Methods:

  • Case report of a patient undergoing elective off-pump coronary artery bypass surgery.
  • Intraoperative diagnosis using transesophageal echocardiography.
  • Surgical intervention for catheter removal.

Main Results:

  • Swan-Ganz catheter entrapment within the tricuspid valve was diagnosed intraoperatively via transesophageal echocardiography.
  • The catheter was found to be tightly wrapped around the subvalvular apparatus.
  • Successful surgical removal of the entrapped catheter was performed on-pump.

Conclusions:

  • Catheter entrapment around the tricuspid valve apparatus presents significant anatomical complexity.
  • Prompt echocardiographic diagnosis is crucial to prevent iatrogenic damage and guide appropriate management.
  • This case underscores the critical role of advanced imaging in managing rare cardiac surgical complications.

Keywords:
Cardiac anatomyCardiopulmonary bypass managementTEEother abnormalities

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