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KMID : 0364020140470040416
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Korean Journal of Thoracic and Cardiovascular Surgery
2014 Volume.47 No. 4 p.416 ~ p.419
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Postoperative Life-Threatening Recurrent Ventricular Arrhythmia Triggered by the Swan-Ganz Catheter in a Patient Undergoing Off-Pump Coronary Artery Bypass Surgery
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Min Joon-Cheol
Choi Jae-Sung
Oh Se-Jin
Seong Yong-Won
Moon Hyun-Jong
Lee Jeong-Sang
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Abstract
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Recurrent ventricular arrhythmia can be fatal and cause serious complications, particularly when it is caused immediately after an operation. Incorrect placement of a Swan-Ganz catheter can trigger life-threatening ventricular arrhythmia, but even intensive care specialists tend to miss this fact. Here, we report a case of recurrent ventricular arrhythmia causing a severe hemodynamic compromise; the arrhythmia was induced by a severely angulated Swan-Ganz catheter. The recurrent ventricular arrhythmia was not controlled by any measures including repositioning of the catheter, until the complete removal of the Swan-Ganz catheter. It is necessary to keep in mind that the position of the pulmonary artery catheter should be promptly checked if there is intractable recurrent ventricular arrhythmia.
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KEYWORD
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Arrhythmia, Swan-Ganz catheter
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