PERFORATION OF HEART DURING CARDIAC CATHETERIZATION AND SELECTIVE ANGIOCARDIOGRAPHY

A case is reported in which cardiac catheterization and selective angiocardiography led to perforation of the heart without any further complications. It is suggested that distortion of the pressure tracing indicates partial obstruction of the catheter holes and that it should serve as a warning sig...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 1963-10, Vol.28 (4), p.585-588
Main Authors: KEATES, P G, WAGNER, G R
Format: Article
Language:English
Subjects:
Angiocardiography
Cardiac Catheterization
Child
Heart
Heart Injuries
Humans
Old Medline
Thoracic Surgical Procedures
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Summary:A case is reported in which cardiac catheterization and selective angiocardiography led to perforation of the heart without any further complications. It is suggested that distortion of the pressure tracing indicates partial obstruction of the catheter holes and that it should serve as a warning sign not to proceed with the injection of contrast medium, but to re-position the catheter first. Furthermore, inspection of the electrocardiogram immediately after the injection may give an early indication of myocardial disturbance in the form of ST-segment depression.
ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.28.4.585