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KMID : 1161920150120020065
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Journal of Medicine and Life Science
2015 Volume.12 No. 2 p.65 ~ p.68
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Right ventricular perforation caused by pulmonary artery catheter at intensive care unit
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Huh In-Young
Kim Dae-Young
Sung Min-Ha
Lee Min-Hyun
Park Sun-Eun
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Abstract
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Pulmonary artery catheter (PAC) is considered the useful hemodynamic monitoring tool in cardiac surgery and intensive care unit (ICU). Placement of PAC has potential risks of complications, though. A various type of complications have been reported. However, right ventricular perforation by PAC is rare finding. In this case, a 68-year-old woman with rheumatic aortic stenosis and mitral stenosis was planned double valve replacement. PAC was not advanced in pulmonary artery during surgery. After transferred ICU, PAC was advanced into right ventricle (RV) with ballooning. A large amount of bleeding and hemodynamic instability was developed, and then, reoperation was decided. After median sternotomy, surgeon detected the protruding PAC tip from the free wall of RV. Direct suture was performed, and catheter tip was withdrawn back into the RV cavity. It is important to keep in mind that RV perforation could arise after PAC insertion and PAC should be gently handled.
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KEYWORD
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Complication, Intensive care unit, Pulmonary artery catheter, Right ventricle perforation
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