El-Heis Sarah, Ormerod Julian O M, Chandrasekaran Badri, Ramcharitar Steve
Wiltshire Cardiac Centre, Swindon, UK.
BMJ Case Rep. 2013 Mar 26;2013:bcr2013008640. doi: 10.1136/bcr-2013-008640.
Sixteen years after a long admission for a serious occupational accident, a 38-year-old man presented with intermittent atypical chest pain. Upon investigations a retained fragment of a pulmonary artery catheter was found in the right ventricle. Throughout the years between his accident and the current presentation he did not have any symptoms or signs of complications associated with the retained catheter such as arrhythmia, sepsis or thromboembolism. Upon presenting his case at the medical/surgical multidisciplinary meeting it was decided that the probability of complications occurring at this stage was low as the catheter fragment would have endothelialised and the risk of retrieval would outweigh the benefits. This scenario highlighted the importance of understanding the possible long-term complications of retained catheter fragments, the importance of being aware of the limitation of these devices and the need to be more vigilant in the emergency setting.
一名38岁男子在因严重职业事故长期住院16年后，出现间歇性非典型胸痛。经检查，在右心室发现了一根肺动脉导管的残留碎片。在事故发生至此次就诊的数年中，他没有出现与残留导管相关的任何并发症症状或体征，如心律失常、败血症或血栓栓塞。在医疗/外科多学科会议上汇报他的病例时，决定在此阶段发生并发症的可能性较低，因为导管碎片可能已内皮化，取出的风险大于益处。这种情况凸显了了解残留导管碎片可能的长期并发症的重要性、认识这些装置局限性的重要性以及在紧急情况下提高警惕的必要性。
