Hemoptysis after Left Subclavian Central Venous Catheterization during Anesthesia Induction for Open Heart Surgery - Two cases report -

2007 ◽  
Vol 52 (1) ◽  
pp. 91 ◽  
Author(s):  
Jun Yong Do ◽  
Il Seok Kim ◽  
Sung Jun Hong ◽  
Jun Hee Park ◽  
Keun Man Shin
1974 ◽  
Vol 2 (1) ◽  
pp. 43-47 ◽  
Author(s):  
D. G. Woods ◽  
Jean Lumley ◽  
W. J. Russell ◽  
R. D. Jack

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.


1980 ◽  
Vol 8 (1) ◽  
pp. 81-83 ◽  
Author(s):  
John L. Poole

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.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Nasir Hussain ◽  
Paul Eric Shattuck ◽  
Mourad Hussein Senussi ◽  
Erwin Velasquez Kho ◽  
Mubeenkhan Mohammedabdul ◽  
...  

Central venous catheters (CVC) are used commonly in clinical practice. Incidences of CVC-related right atrial thrombosis (CRAT) are variable, but, when right atrial thrombus is present, it carries a mortality risk of 18% in hemodialysis patients and greater than 40% risk in nonhemodialysis patients. Different pathogenic mechanisms have been postulated for the development of CRAT, which includes mechanical irritation of the myocardial wall, propagation of intraluminal clot, hypercoagulability, and hemodynamics of right atria. Presentation of CRAT may be asymptomatic or may be associated with one of the complications of CRAT like pulmonary embolism, systemic embolism, infected thrombi, or hemodynamic compromise. There are no established treatment guidelines for CRAT. We describe an interesting case of a 59-year-old asymptomatic male successfully treated with open heart surgery after failure of medical treatment for a large CRAT discovered during a preoperative evaluation for a kidney transplant. Our case underscores that early detection of CRAT may carry a favorable prognosis as opposed to waiting until catastrophic complications arise. It also underscores the importance of transesophageal echocardiography in the detection of thrombus and perhaps guides clinicians on which treatment modality to be used according to the size of the thrombus.


1970 ◽  
Vol 14 ◽  
pp. 112-113 ◽  
Author(s):  
Ingvar Gustafson ◽  
Lars Nordström

2021 ◽  
Vol 1 (1) ◽  
pp. 16-18
Author(s):  
Ngurah Dwiky Abadi Resta ◽  
I Nyoman Semadi ◽  
I Komang Adhi Parama Harta ◽  
I Wayan Sudarma ◽  
Ketut Putu Yasa

Background: Retention of central venous catheters (CVC) is one complication that may occur when open-heart surgery is performed (such as mitral valve replacement). In this case report, we describe case retention of CVC in a patient with Mitral Valve Replacement (MVR) related to sutured of Superior Vena Cava (SVC) wall on cannulation site. Case Presentation:  A 15-year-old boy was admitted to Sanglah Hospital with a history of Heart failure with severe regurgitation of the mitral valve, severe tricuspid regurgitation, and left ventricular dysfunction due to rheumatic heart disease. Mitral valve replacement, tricuspid valve repair and left atrial reduction was performed. After five days of postoperative observation, the CVC could be removed. However, there is resistance when removing the catheter. After diagnostic examination, it was found that the CVC was sutured to the superior vena cava wall. The patient was then scheduled for a redo sternotomy to evacuate the CVC. The patient was discharged seven days after redo sternotomy was performed without any further postoperative complications. Conclusions: Retention of CVC during open-heart surgery is one complication that increases the risk for morbidity or mortality to the patient after heart surgery.


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