Entrapped central venous catheter after mitral valve replacement and its surgical retrieval.
Central venous pressure monitoring line insertion is routine prior to the conduct of cardiac surgery, and in rare instances, malposition can contribute to operative complications. We describe here how a central venous line lying in the right atrium became caught in a left atrial (LA) closure suture during a mitral valve replacement. The opening of the LA suture line is highly unsafe without cardiopulmonary bypass (CPB) because of the possibility of systemic air embolism, but by employing an ingenious method of suturing over and unravelling the continuous sutures closing the left atrium, it was possible to surgically retrieve it without the use of a CPB.
Narayana Hrudayalaya Hospitals, Bangalore, Karnataka, India. drhemanair@gmail.com
Hema C
HC
Nair
Sanjay
S
Banakal
V Rao
VR
Parachuri
Devi Prasad
DP
Shetty
D062905:Central Venous Catheters; D020878:Device Removal / Q000379:methods*; D003937:Diagnosis, Differential; D005471:Fluoroscopy; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006325:Heart Atria; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery