title: Inadvertent placement of a pulmonary artery catheter in the coronary sinus: is it time to increase our sweep speed?
abstract: A patient was scheduled for open infrarenal abdominal aortic aneurysm repair and the procedure was performed without complication. The pulmonary artery catheter (PAC) was unintentionally placed in the coronary sinus via an undiagnosed persistent left superior vena cava anomaly. Interpreting the waveform produced by the PAC in standard and abnormal locations such as the coronary sinus is equally as important as measuring and monitoring hemodynamic status.
authors.affiliation: Department of Anesthesiology, The Ohio State University Medical Center, Columbus, OH 43210, USA. Hamdy.Elsayed-Awad@osumc.edu
authors.forename: Hamdy
authors.initials: H
authors.lastname: Awad
authors.forename: Shéleste V
authors.initials: SV
authors.lastname: Ladson
authors.forename: Jamie R
authors.initials: JR
authors.lastname: Wingate
authors.forename: Mohamed Abd
authors.initials: MA
authors.lastname: Eldayem
authors.forename: Keri J
authors.initials: KJ
authors.lastname: Hudec
authors.forename: Melissa Rosado
authors.initials: MR
authors.lastname: de Christenson
authors.forename: John D
authors.initials: JD
authors.lastname: Hummel
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation; D054326:Coronary Sinus / Q000293:injuries*; D004562:Electrocardiography; D006801:Humans; D007601:Jugular Veins / Q000293:injuries; D008297:Male; D019300:Medical Errors; D008875:Middle Aged; D014656:Vascular Surgical Procedures; D014683:Vena Cava, Superior / Q000002:abnormalities