Accidental cannulation of the hepatic vein during pulmonary artery catheterisation--a case report.
A 22-year-old male was admitted to the adult ICU with a diagnosis of massive cardiomegaly and a large left ventricular thrombus, and needed Swan-Ganz catheterisation for proper haemodynamic monitoring. Insertion of the Swan-Ganz catheter resulted in hepatic vein cannulation. Pulmonary artery was successfully cannulated only when the patient was put in the head-up and right lateral position. It is suggested that to increase the success rate of patients with low cardiac output, cardiomegaly or pulmonary hypertension, they be placed in a head-up and right lateral position.
Reddy
V G
VG
Department of Anaesthesia and Intensive Care, Sultan Qaboos University Hospital, Al Khod, MUSCAT, Sultanate of Oman.
George
B
B
D000059:Accidents; D000328:Adult; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects* / Q000295:instrumentation*; D006503:Hepatic Veins; D006801:Humans; D007601:Jugular Veins; D008297:Male; D011651:Pulmonary Artery