Entanglement of a pigtail catheter by the chordae tendineae of the tricuspid valve during pulmonary angiography.
Two cases are presented in which a pigtail catheter was entrapped by the chordae tendineae of the tricuspid valve during pulmonary arteriography. A technique for removal of the catheter from its entanglement by the chordae tendineae is described. Caution must be taken when advancing through the right ventricle a catheter that appears to be entrapped by the chordae tendineae. When such an entanglement occurs, measures to reduce the risk of rupturing a papillary muscle must be taken.
Winrow
D
D
Department of Diagnostic Radiology, Lahey Clinic, 41 Mall Road, Burlington, MA 01805, USA.
Beckmann
C F
CF
Lacomis
J M
JM
Dedrick
C G
CG
D000328:Adult; D000792:Angiography / Q000009:adverse effects* / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation*; D002815:Chordae Tendineae; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D014261:Tricuspid Valve