Pulmonary artery catheter knotting: are conservative measures always successful? a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20163482Keywords:
Coronary artery bypass, Knot, Tricuspid valveAbstract
Pulmonary artery catheter (PAC) or Swan-Ganz catheter is a flow directed balloon tipped catheter routinely used in patients undergoing Coronary Artery Bypass Grafting (CABG). The reported rate of complications with PAC is 3-17% including arrhythmias, pneumothorax, pulmonary embolism, bacteraemia and death1. Knot formation is an uncommon complication of PAC and is usually managed conservatively2. Here we report about a patient with knotted PAC who required operative intervention after failure of conventional measures as the knot engulfed the tricuspid valve chordae and was fixed.
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