Inadvertent Entrapment of a Central Venous Catheter by a Purse-String Suture during Cardiopulmonary Bypass: A Case Report

Author:

Anvaripour Abdorasoul1ORCID,Yazdanian Forouzan2,Totonchi Mohammad-Zia2,Shahryari Houshang1

Affiliation:

1. Anesthesiology Department, Bushehr University of Medical Sciences, Bushehr, Iran

2. Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran

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.

Publisher

Hindawi Limited

Subject

Anesthesiology and Pain Medicine

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