Postoperative Life-Threatening Recurrent Ventricular Arrhythmia Triggered by the Swan-Ganz Catheter in a Patient Undergoing Off-Pump Coronary Artery Bypass Surgery.
- Author:
Jooncheol MIN
1
;
Jae Sung CHOI
;
Se Jin OH
;
Yong Won SEONG
;
Hyun Jong MOON
;
Jeong Sang LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Korea. truejsreal@hanmail.net
- Publication Type:Case Report
- Keywords:
Arrhythmia;
Swan-Ganz catheter
- MeSH:
Arrhythmias, Cardiac*;
Catheters*;
Coronary Artery Bypass, Off-Pump*;
Hemodynamics;
Humans;
Critical Care;
Pulmonary Artery;
Specialization
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(4):416-419
- CountryRepublic of Korea
- Language:English
-
Abstract:
Recurrent ventricular arrhythmia can be fatal and cause serious complications, particularly when it is caused immediately after an operation. Incorrect placement of a Swan-Ganz catheter can trigger life-threatening ventricular arrhythmia, but even intensive care specialists tend to miss this fact. Here, we report a case of recurrent ventricular arrhythmia causing a severe hemodynamic compromise; the arrhythmia was induced by a severely angulated Swan-Ganz catheter. The recurrent ventricular arrhythmia was not controlled by any measures including repositioning of the catheter, until the complete removal of the Swan-Ganz catheter. It is necessary to keep in mind that the position of the pulmonary artery catheter should be promptly checked if there is intractable recurrent ventricular arrhythmia.
