삼첨판 수술 시 발생한 매듭지어진 폐동맥 카테터 -증례 보고-
Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery -A Case Report-
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (15)
- Swan HJ, "Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter", N Engl J Med, 283, pp.447~451 (1970)
- Boyd KD, "A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients", Chest, 84, pp.245~249 (1983)
- Dieden JD, "Pulmonary artery false aneurysms secondary to Swan-Ganz pulmonary artery catheters", AJR Am J Roentgenol, 149, pp.901~906 (1987)
- Lubliner Y, "Knotting of a Swan-Ganz catheter in the right ventricle", Heart Lung, 13, pp.419~420 (1984)
- Daum S, "Intracardiac knot formation in a Swan-Ganz catheter", Anesth Analg, 52, pp.862~863 (1973)
- Cho MW, "Insertion length of pulmonary artery catheter and its migration during extracorporeal circulation", Korean J Anesthesiol, 26, pp.1271~1277 (1993)
- Eun Soo Kim, "Detection of Pulmonary Artery Catheter Knotting by Transesophageal Echocardiography - A Case Report -", 대한중환자의학회지, 26(2), pp.98~100 (2011), 대한중환자의학회
- Kaplan JA, "Kaplan’s cardiac anesthesia. 5th ed", pp.680~ (2005), Saunders Elsevier
- Dach JL, "The knotted Swan-Ganz catheter: new solution to a vexing problem", AJR Am J Roentgenol, 137, pp.1274~1275 (1981)
- Graybar GB, "Knotting of a Swan-Ganz catheter", Chest, 84, pp.240~ (1983)
- Tan C, "A technique to remove knotted pulmonary artery catheters", Anaesth Intensive Care, 25, pp.160~162 (1997)
- Hood S, "Successful retrieval of a knotted pulmonary artery catheter trapped in the right ventricle using a dormier basket", Scott Med J, 42, pp.184~ (1997)
- Arnaout S, "Rupture of the chordae of the tricuspid valve after knotting of the pulmonary artery catheter", Chest, 120, pp.1742~1744 (2001)
- Georghiou GP, "Knotting of a pulmonary artery catheter in the superior vena cava: surgical removal and a word of caution", Heart, 90, pp.e28~ (2004)
- Asensi Bonet N, "Multiple knotting of a swan-ganz catheter", Rev Esp Cardiol, 63, pp.869~870 (2010)