title: Inadvertent Entrapment of a Central Venous Catheter by a Purse-String Suture during Cardiopulmonary Bypass: A Case Report.
abstract: A 65-year-old female patient with severe mitral valve stenosis plus coronary artery disease was scheduled for mitral valve replacement and 2-vessel coronary artery bypass graft (CABG) surgeries simultaneously. After a successful procedure, resistance was met on a CVC withdrawal. During postoperative fluoroscopy, fixation of the catheter at the heart was confirmed which necessitated reopening the chest, cutting the suture, and removing the catheter. When a catheter became hard to withdraw after open heart surgery, we should never withdraw it forcefully and blindly. Although rare, one should consider inadvertent entrapment of CVC by a suture as the possible cause.
authors.affiliation: Anesthesiology Department, Bushehr University of Medical Sciences, Bushehr, Iran.
authors.forename: Abdorasoul
authors.initials: A
authors.lastname: Anvaripour
authors.forename: Forouzan
authors.initials: F
authors.lastname: Yazdanian
authors.forename: Mohammad-Zia
authors.initials: MZ
authors.lastname: Totonchi
authors.forename: Houshang
authors.initials: H
authors.lastname: Shahryari