Delayed fatal cardiac perforation by an indwelling long introducer sheath following transjugular intrahepatic portocaval stents (TIPS).
Iatrogenic cardiac perforation is a recognized complication of central venous catheterization. We report a fatal complication by a 10F introducer sheath which was left in place and resulted in perforation of the right atrial wall 8 h later. This case is reported to emphasize the increased risk of cardiac perforation from large caliber rigid sheaths which should be withdrawn immediately after completion of the procedure.
Fitt
G
G
University of Melbourne, Department of Radiology, Austin Hospital, Heidelberg, Vic., Australia.
Thomson
K
K
Hennessy
O
O
D002404:Catheterization / Q000009:adverse effects*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D011859:Radiography; D015607:Stents; D014682:Vena Cava, Inferior; D014950:Wounds, Penetrating / Q000209:etiology*