Abstract

Background

Placement of pulmonary artery catheters may be associated with a variety of complications. We present a case where a pulmonary artery catheter was accidentally advanced into the left ventricle by perforating the intraventricular septum.

Case presentation

A 73-year-old woman underwent mitral valve dysfunction. A pulmonary artery catheter could not pass the tricuspid valve under general anesthesia, which was manually advanced via the right ventricle during surgery. After valve replacement, systolic pulmonary artery pressure was higher than radial arterial blood pressure. Transesophageal echocardiography (TEE) revealed the tip of the catheter in the left ventricle. The catheter was withdrawn and then advanced to the pulmonary artery under monitoring of TEE. Transseptal shunt flow gradually decreased and finally disappeared. The surgery was completed without additional procedures.

Conclusions

Although ventricular septal perforation is rare, it should be recognized as a potential complication of pulmonary artery catheter insertion.

Details

Title
Malposition of a pulmonary artery catheter in the left ventricle: a case report
Author
Nakanishi, Toshiyuki 1   VIAFID ORCID Logo  ; Kato, Shohei 1 ; Tamura, Tetsuya 1 ; Kako, Eisuke 1 ; Sobue, Kazuya 1 

1  Nagoya City University Graduate School of Medical Sciences, Department of Anesthesiology and Intensive Care Medicine, Nagoya, Japan (GRID:grid.260433.0) (ISNI:0000 0001 0728 1069) 
Pages
29
Publication year
2023
Publication date
Dec 2023
Publisher
Springer Nature B.V.
e-ISSN
23639024
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s40981-023-00622-y
ProQuest document ID
2818579997
Copyright
© The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.