삼첨판 수술 시 발생한 매듭지어진 폐동맥 카테터 -증례 보고-Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery -A Case Report-
- Other Titles
- Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery -A Case Report-
- Authors
- 이경천; 정월선; 김용범; 이지연
- Issue Date
- 2012
- Publisher
- 대한중환자의학회
- Keywords
- complication; knotting; pulmonary artery catheter; surgical removal.
- Citation
- Acute and Critical Care, v.27, no.1, pp.45 - 48
- Journal Title
- Acute and Critical Care
- Volume
- 27
- Number
- 1
- Start Page
- 45
- End Page
- 48
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/17317
- ISSN
- 2586-6052
- Abstract
- The use of pulmonary artery catheter can be helpful in managing patients after cardiac surgery. Nevertheless, there is a risk of serious complications, such as knotting. A 61 year old man underwent tricuspid valve replacement under cardiopulmonary bypass (CPB). After implantation of a stented tissue valve in the tricuspid valve, repositioning of the catheter was performed. After weaning from CPB, an abnormal pattern of pulmonary artery pressure was suddenly observed on the monitor. Resistance was met when removing the catheter with the balloon deflated, at a 20 cm distance from the tip of the catheter. Chest radiography showed a knot in the catheter within the right brachiocephalic vein. Superior vena cava opened and the distal part of the catheter with the knot was successfully removed.
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