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[ Swan-Ganz导管意外心内嵌入]

[Inadvertant intracardiac entrapment of a Swan-Ganz catheter].

作者信息

Klockgether-Radke A, Rathgeber J, Lange H

机构信息

Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Georg-August-Universität Göttingen.

出版信息

Anaesthesist. 1995 Feb;44(2):116-8. doi: 10.1007/s001010050138.

Abstract

A 58-year-old man, admitted with one-vessel coronary disease and aortic valve insufficiency, was scheduled for cardiac surgery. He underwent single coronary bypass grafting and aorta ascendens replacement by a composite graft. During surgery he was monitored by a Swan-Ganz catheter, which had been inserted uneventfully via the right internal jugular vein. Six hours after completion of surgery we were unable to remove this catheter. Fluoroscopy showed intracardiac entrapment of the catheter. Rethoractomy was performed, revealing entrapment by a suture. The purse-string suture was released, and the catheter was withdrawn without resistance.

摘要

一名58岁男性因单支冠状动脉疾病和主动脉瓣关闭不全入院,计划接受心脏手术。他接受了单支冠状动脉搭桥术和用复合移植物置换升主动脉手术。手术期间,通过一根经右颈内静脉顺利插入的Swan-Ganz导管对他进行监测。手术结束6小时后,我们无法拔出这根导管。荧光透视显示导管在心腔内被卡住。进行了再次开胸手术,发现是被一根缝线卡住。解开荷包缝线后,导管顺利拔出。

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