Adequate Venous Drainage Does Not Exclude Cannula Malposition: Right Ventricular Perforation during Minimally

Kensuke Oue1, Moe Kinoshita1, Shintaro Okuda1

  • 1Department of Cardiovascular Surgery, Kochi Health Sciences Center, Ike, Kochi, Kochi, Japan.

Surgical Case Reports
|July 15, 2026
PubMed
Summary

Femoral venous cannulation for minimally invasive cardiac surgery can lead to right ventricular perforation, even with adequate venous drainage. Blindly advancing cannulas without reassessing position risks serious cardiac injury.