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Inadvertent Entrapment of a Central Venous Catheter by a Purse-String Suture during Cardiopulmonary Bypass: A Case Report
Author(s) -
Abdorasoul Anvaripour,
Forouzan Yazdanian,
Mohammad-Zia Totonchi,
Houshang Shahryari
Publication year - 2011
Publication title -
case reports in anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-6390
pISSN - 2090-6382
DOI - 10.1155/2011/760426
Subject(s) - medicine , cardiopulmonary bypass , entrapment , surgery , catheter , mitral valve replacement , fibrous joint , mitral valve , cardiology
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.

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