Kinking of the Advanced Venous Access Device during Insertion of the Superior Vena Cava Cannula and the Pulmonary Artery Catheter in the Minimally Invasive Robot-assisted Cardiac Surgery: A case report.
10.4097/kjae.2005.48.2.202
- Author:
Sung Moon JEONG
1
;
Hwan Hi LEE
;
Yong Bo JEONG
;
In Cheol CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea. icchoi@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
advanced venous access device;
kinking;
minimally invasive robot-assisted thoracotomy;
pulmonary artery catheter;
superior vena cava cannula
- MeSH:
Catheters*;
Female;
Humans;
Jugular Veins;
Middle Aged;
Pulmonary Artery*;
Subclavian Vein;
Thoracic Surgery*;
Thoracotomy;
Thorax;
Vena Cava, Superior*
- From:Korean Journal of Anesthesiology
2005;48(2):202-206
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 59-year-old woman was scheduled for mitral valvuloplasty and Maze operation. As operation was planed to use the robotically controlled camera (Aesop 3000, Computermotion(r), USA) for the minimally invasive robot-assisted thoracotomy, a superior vena cava (SVC) cannula (Femoral arterial cannula [21 Fr], Medtronic(r), USA) was inserted in the right internal jugular vein. After insertion of the SVC cannula, a pulmonary artery (PA) catheter (Swan-Ganz CCOmbo V [7.5 Fr], Edwards(r), USA) was inserted through an advanced venous access device (AVA 3Xi [8.5 Fr], Edwards(r), USA) in the right subclavian vein. The tip of the PA catheter could not be advanced into SVC and blood was not regurgitated. In the chest AP X-ray, it was found that the advanced venous access device was kinked by the SVC cannula. So the advanced venous access device was withdrawn about 5 cm and the PA catheter was advanced easily to the destination.
