An Unusual Cause of Ventricular Tachycardia: Port-A-Cath Fracture and Embolization into the Pulmonary Artery
Author(s) -
Anthony Wassef,
Malek Kass,
Gurpreet Parmar,
Amir Ravandi
Publication year - 2014
Publication title -
heart international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.183
H-Index - 12
eISSN - 2036-2579
pISSN - 1826-1868
DOI - 10.5301/heart.2014.12506
Subject(s) - medicine , embolization , palpitations , catheter , thrombus , ventricular tachycardia , ventricle , tachycardia , cardiology , pulmonary artery , catheter ablation , surgery , ablation
We describe the case of a patient with a previously placed Port-A-Cath who was admitted to hospital for new onset of non-flushing catheter and palpitations with ventricular tachycardia. A chest X-ray and a linogram showed a Port-A-Cath fracture and distal embolization into the right ventricle resulting in ventricular tachycardia. The catheter was removed percutaneously using a Goose Neck snare with no complications and resolution of the ventricular tachycardia. The removed segment demonstrated thrombus. Prompt removal of the embolized catheter fragments should be undertaken given the subtle nature of the embolization and the potential complications
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