Indwelling catheter-induced right ventricular rupture.
We describe a case of a 68-year-old man who, because of postoperative mediastinitis, underwent a multiple muscle flap closure of the mediastinum. A chronic indwelling catheter led to erosion and rupture of the anterior wall of the right ventricle. The near exsanguinating hemorrhage was corrected under circulatory arrest. A pericardial patch repair was performed with good results.
Nuño
I N
IN
Department of Cardiothoracic Surgery, University of Southern California School of Medicine, Los Angeles, USA.
Ashton
K A
KA
Uppal
K M
KM
Lee
P W
PW
Starnes
V A
VA
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D004322:Drainage / Q000009:adverse effects*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000628:therapy; D013212:Staphylococcus epidermidis; D013524:Surgical Flaps