Retention of broken central venous catheters in pulmonary artery and inferior vena cava--a case report.
Central venous catheterization (CVC) has become an important maneuver both for measuring the central venous pressure and for carrying out long-term intravenous alimentation. Furthermore, a central vein may be needed for the rapid restoration of blood volume in condition of acute hemorrhage with difficulties establishing of a peripheral cannulation. However, complications related to either the venipuncture or the presence of catheters in the central venous system were reported. The case we reported here had two ruptured catheter fragments retained in the great vessels, one in the right subclavian vein and the other one in the femoral vein during CVC. They migrated to the pulmonary artery and inferior vena cava, and were finally removed through open sternotomy with pulmonary arteriotomy and exploration of common iliac vein two weeks later. This was an unusual and possibly fatal complication.
Peng
C H
CH
Department of Anesthesiology, Military 802 General Hospital, Kaohsiung, Taiwan, R.O.C.
Tan
P H
PH
Chou
A K
AK
Chung
H C
HC
Lee
C C
CC
Chia
Y Y
YY
D000328:Adult; D002404:Catheterization; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D014682:Vena Cava, Inferior