Migration of a Central Venous Catheter in a Hemodialysis Patient Resulted in Left Atrial Perforation and Thrombus Formation Requiring Open Heart Surgery

2016 ◽  
Vol 7 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Kevin Wong ◽  
Barry A. Marks ◽  
Anwer Qureshi ◽  
Joseph J. Stemm
Keyword(s):  
Central Venous Catheter ◽  
Left Atrial ◽  
Heart Surgery ◽  
Hemodialysis Patient ◽  
Thrombus Formation ◽  
Open Heart Surgery ◽  
Venous Catheter ◽  
Open Heart ◽  
Central Venous

scholarly journals The Position of Central Venous Catheters Inserted through Arm Veins: A Preliminary Report

1974 ◽  
Vol 2 (1) ◽  
pp. 43-47 ◽  
Author(s):  
D. G. Woods ◽  
Jean Lumley ◽  
W. J. Russell ◽  
R. D. Jack
Keyword(s):  
Preliminary Report ◽  
Heart Surgery ◽  
Venous Pressure ◽  
Venous Blood ◽  
Open Heart Surgery ◽  
Central Venous Catheters ◽  
Open Heart ◽  
Central Venous ◽  
Central Venous Blood ◽  
Catheter Tip

Fifty-three central venous catheters were followed up by radiography or direct observation during open-heart surgery. Forty of these were satisfactorily positioned for recording central venous pressure or for sampling central venous blood. Radiography showed that the catheter tip was in an unsatisfactory position in 21 per cent of cases. It is recommended that radiographic confirmation of the site of the catheter tip be obtained as a routine and if necessary the catheter can be re-positioned and another radiograph taken.

scholarly journals Subclavian Vein Catheterisation for Cardiac Surgery in Children

1980 ◽  
Vol 8 (1) ◽  
pp. 81-83 ◽  
Author(s):  
John L. Poole
Keyword(s):  
Cardiac Surgery ◽  
Central Venous Pressure ◽  
Success Rate ◽  
Subclavian Vein ◽  
Heart Surgery ◽  
Venous Pressure ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Central Venous ◽  
Infusion Line

Infraclavicular subclavian vein catheterisation is a useful means of measuring central venous pressure and establishing a central infusion line in children undergoing open heart surgery. In 48 children ranging in age from 15 months to 13 years, there was a high success rate and no morbidity.

scholarly journals Entrapment of central venous catheter by a suture to the left atrial wall following double valve replacement

2015 ◽  
Vol 1 (2) ◽  
pp. 80-82 ◽  
Author(s):  
Bidhan Gyawali ◽  
Ashsish Govinda Amatya ◽  
Battu Kumar Shrestha ◽  
Jeju Nath Pokharel ◽  
Nabin Chandra Gautam
Keyword(s):  
Central Venous Catheter ◽  
Valve Replacement ◽  
Left Atrial ◽  
Venous Catheter ◽  
Atrial Wall ◽  
Central Venous ◽  
Severe Aortic Regurgitation ◽  
Double Valve Replacement ◽  
Left Atrial Wall ◽  
Wall Following

A 19-year-old female with severe mitral stenosis, moderate mitral regurgitation and severe aortic regurgitation was scheduled for double valve replacement. The central venous catheter inserted after induction of anesthesia could not be pulled out on an attempt to remove it on third postoperative day, and appeared to be stuck. Fluoroscopy confirmed the fixation of catheter at left atrial wall of the heart. This necessitated reopening the chest, cutting the suture and removing the catheter. We believe that our case is one of the few reports of central venous catheter sutured surgically to the atrial wall requiring re-exploration for removal. This kind of entrapment of central venous catheter by a suture is a possible complication in open heart surgeries. Cardiovascular anesthesiologists and surgeons should take measures to prevent such complication. Any attempt to pull it out could be fatal. Cautious handling is advocated whenever an entrapped central venous catheter is found. Checking the catheter for possible entrapment by gently pulling it a few centimeters at the time of atrial wall closure and using a shorter length catheter may be the strategies to prevent such complication.Journal of Society of Anesthesiologists 2014 1(2): 80-82

scholarly journals Perioperative Results from Left Atrial Appendage Removal during Open Heart Surgery

2017 ◽  
Vol 65 (S 01) ◽  
pp. S1-S110
Author(s):  
C. Bening ◽  
K. Hamouda ◽  
M. Leistner ◽  
D. Radakovic ◽  
M. Oezkur ◽  
...  
Keyword(s):  
Left Atrial ◽  
Heart Surgery ◽  
Left Atrial Appendage ◽  
Open Heart Surgery ◽  
Atrial Appendage ◽  
Open Heart
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