Abstract
A case is presented of tricuspid valve and papillary muscle avulsion which occurred during removal of a Swan-Ganz catheter. A review of pertinent literature and discussion of a possible mechanism for the cause of the complication and its prevention are presented.
The authors believe this to be the first reported instance of such a complication.
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- Abernathy W. S. Complete heart block caused by the Swan-Ganz catheter. Chest. 1974 Mar;65(3):349–349. doi: 10.1378/chest.65.3.349. [DOI] [PubMed] [Google Scholar]
- Becker A. E., Becker M. J., Martin F. H., Edwards J. E. Bland thrombosis and infection in relation to intracardiac catheter. Circulation. 1972 Jul;46(1):200–203. doi: 10.1161/01.cir.46.1.200. [DOI] [PubMed] [Google Scholar]
- Cerra F., Milch R., Lajos T. Z. Pulmonary artery catheterization in critically ill surgical patients. Ann Surg. 1973 Jan;177(1):37–39. doi: 10.1097/00000658-197301000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chun G. M., Ellestad M. H. Perforation of the pulmonary artery by a Swan-Ganz catheter. N Engl J Med. 1971 May 6;284(18):1041–1042. [PubMed] [Google Scholar]
- Dalen J. E. Bedside hemodynamic monitoring. N Engl J Med. 1979 Nov 22;301(21):1176–1178. doi: 10.1056/NEJM197911223012110. [DOI] [PubMed] [Google Scholar]
- Ehrie M., Morgan A. P., Moore F. D., O'Connor N. E. Endocarditis with the indwelling balloon-tipped pulmonary artery catheter in burn patients. J Trauma. 1978 Sep;18(9):664–666. doi: 10.1097/00005373-197809000-00008. [DOI] [PubMed] [Google Scholar]
- Foote G. A., Schabel S. I., Hodges M. Pulmonary complications of the flow-directed balloon-tipped catheter. N Engl J Med. 1974 Apr 25;290(17):927–931. doi: 10.1056/NEJM197404252901702. [DOI] [PubMed] [Google Scholar]
- Geha D. G., Davis N. J., Lappas D. G. Persistent atrial arrhythmias associated with placement of a Swan-Ganz catheter. Anesthesiology. 1973 Dec;39(6):651–653. doi: 10.1097/00000542-197312000-00022. [DOI] [PubMed] [Google Scholar]
- Golden M. S., Pinder T., Jr, Anderson W. T., Cheitlin M. D. Fatal pulmonary hemorrhage complicating use of a flow-directed balloon-tipped catheter in a patient receiving anticoagulant therapy. Am J Cardiol. 1973 Nov;32(6):865–867. doi: 10.1016/s0002-9149(73)80019-0. [DOI] [PubMed] [Google Scholar]
- Goodman D. J., Rider A. K., Billingham M. E., Schroeder J. S. Thromboembolic complications with the indwelling balloon-tipped pulmonary arterial catheter. N Engl J Med. 1974 Oct 10;291(15):777–777. doi: 10.1056/NEJM197410102911507. [DOI] [PubMed] [Google Scholar]
- Greene J. F., Jr, Cummings K. C. Aseptic thrombotic endocardial vegetations. A complication of indwelling pulmonary artery catheters. JAMA. 1973 Sep 17;225(12):1525–1526. [PubMed] [Google Scholar]
- Greene J. F., Jr, Fitzwater J. E., Clemmer T. P. Septic endocarditis and indwelling pulmonary artery catheters. JAMA. 1975 Aug 25;233(8):891–892. [PubMed] [Google Scholar]
- Greene J. F., Jr, Fitzwater J. E., Clemmer T. P. Septic endocarditis and indwelling pulmonary artery catheters. JAMA. 1975 Aug 25;233(8):891–892. [PubMed] [Google Scholar]
- Lapin E. S., Murray J. A. Hemoptysis with flow-directed cardiac catheterization. JAMA. 1972 May 29;220(9):1246–1246. doi: 10.1001/jama.1972.03200090068020. [DOI] [PubMed] [Google Scholar]
- Lemen R., Jones J. G., Cowan G. Letter: A mechanism of pulmonary-artery perforation by Swan-Ganz catheters. N Engl J Med. 1975 Jan 23;292(4):211–212. doi: 10.1056/NEJM197501232920417. [DOI] [PubMed] [Google Scholar]
- Lipp H., O'Donoghue K., Resnekov L. Intracardiac knotting of a flow-directed balloon catheter. N Engl J Med. 1971 Jan 28;284(4):220–220. doi: 10.1056/NEJM197101282840422. [DOI] [PubMed] [Google Scholar]
- McDonough J. J., Altemeier W. A. Subclavian venous thrombosis secondary to indwelling cathers. Surg Gynecol Obstet. 1971 Sep;133(3):397–400. [PubMed] [Google Scholar]
- O'Toole J. D., Wurtzbacher J. J., Wearner N. E., Jain A. C. Pulmonary-valve injury and insufficiency during pulmonary-artery catheterization. N Engl J Med. 1979 Nov 22;301(21):1167–1168. doi: 10.1056/NEJM197911223012107. [DOI] [PubMed] [Google Scholar]
- Pace N. L., Horton W. Indwelling pulmonary artery catheters. Their relationship to aspetic thrombotic endocardial vegetations. JAMA. 1975 Aug 25;233(8):893–894. doi: 10.1001/jama.233.8.893. [DOI] [PubMed] [Google Scholar]
- Page D. W., Teres D., Hartshorn J. W. Letter: Fatal hemorrhage from Swan-Ganz catheter. N Engl J Med. 1974 Aug 1;291(5):260–260. [PubMed] [Google Scholar]
- Swan H. J., Ganz W., Forrester J., Marcus H., Diamond G., Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970 Aug 27;283(9):447–451. doi: 10.1056/NEJM197008272830902. [DOI] [PubMed] [Google Scholar]


