폐동맥카테터의 심장 내 포착과 끊김 -증례 보고

Case 1: A 59-year-old man underwent mitral valve replacement and Maze operation. Under general anesthesia, a pulmonary artery catheter (PAC) and superior vena cava (SVC) cannula were inserted. There were no complications during surgery. However, when the surgeons attempted to remove the PAC the next...

Full description

Saved in:
Bibliographic Details
Published in:Anesthesia and pain medicine (Korean society of anesthesiologists) 2009, 4(3), , pp.242-245
Main Authors: 류해영, 송명희, 강금내, 이은호, 최인철
Format: Article
Language:Korean
Subjects:
마취과학
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Case 1: A 59-year-old man underwent mitral valve replacement and Maze operation. Under general anesthesia, a pulmonary artery catheter (PAC) and superior vena cava (SVC) cannula were inserted. There were no complications during surgery. However, when the surgeons attempted to remove the PAC the next day there was resistance that caused the catheter to break during removal. A chest X ray revealed that the distal portion of the PAC remained in his heart. Therefore, the patient underwent surgery to remove the remnant catheter. Case 2: A 62-year-old man underwent mitral valvuloplasty. A PAC was inserted under general anesthesia. After the procedure, the patient was weaned off his cardiopulmonary bypass (CPB). However, his pulmonary artery pressure could not be measured and an abnormal wave was observed. We attempted to re-insert the catheter, but were unsuccesful. An operation was conducted and the catheter was found to be tied at the septum of the right atrium. KCI Citation Count: 0
ISSN:1975-5171
2383-7977