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Interact Cardiovasc Thorac Surg. 2012 Sep;15(3):566-7. doi: 10.1093/icvts/ivs245. Epub 2012 Jun 11.

Entrapped central venous catheter after mitral valve replacement and its surgical retrieval.

Author information

1
Narayana Hrudayalaya Hospitals, Bangalore, Karnataka, India. drhemanair@gmail.com

Abstract

Central venous pressure monitoring line insertion is routine prior to the conduct of cardiac surgery, and in rare instances, malposition can contribute to operative complications. We describe here how a central venous line lying in the right atrium became caught in a left atrial (LA) closure suture during a mitral valve replacement. The opening of the LA suture line is highly unsafe without cardiopulmonary bypass (CPB) because of the possibility of systemic air embolism, but by employing an ingenious method of suturing over and unravelling the continuous sutures closing the left atrium, it was possible to surgically retrieve it without the use of a CPB.

PMID:
22687430
PMCID:
PMC3422952
DOI:
10.1093/icvts/ivs245
[Indexed for MEDLINE]
Free PMC Article
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