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  • 1
    ISSN: 1432-055X
    Keywords: Schlüsselwörter Swan-Ganz-Katheter ; Komplikation ; Nahtfixation ; Pulmonalarterie ; Key words Swan-Ganz catheter ; Complication ; Suture fixation ; Pulmonary artery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract We report a patient undergoing redo cardiac surgery for combined replacement of the aortic and mitral valves. During the course of the operation, a Swan-Ganz catheter – positioned preoperatively – was accidentally fixed to the wall of the pulmonary artery. As this did not interfere with cardiac output measurement or the pulmonary artery pressure wave form, the fixation was not noticed until an attempt was made to remove the catheter. Fluoroscopy revealed both the catheter's immobility and the location of the suture fixation. The patient required a sternotomy to remove the catheter. In order to avoid this complication, the indications for pulmonary artery catheters during cardiac surgery should be carefully considered. If catheters are inserted, their mobility should by all means be ensured before the chest is closed.
    Notes: Zusammenfassung Der vorliegende Fallbericht beschreibt die Nahtfixation eines Swan-Ganz-Katheters in der A. pulmonalis während eines kombinierten Aorten- und Mitralklappenersatzes. Da die Funktionen des Katheters nicht eingeschränkt waren, blieb die Fixation bis zur beabsichtigten Katheterentfernung unbemerkt. Konventionelle Röntgenaufnahmen legten die Diagnose nahe. Die Katheterentfernung erfolgte operativ über eine Resternotomie des Patienten. Zur Vermeidung dieser Komplikation bei kardiochirurgischen Eingriffen sollte, neben einer strengen Indikationsstellung, vor Thoraxverschluß in jedem Fall die freie Beweglichkeit sämtlicher Katheter im Operationsgebiet geprüft werden.
    Type of Medium: Electronic Resource
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