Severe Tricuspid Regurgitation After Percutaneous Removal of a Swan-Ganz Catheter Caught by Suture.

Gennari, Marco; Bartorelli, Antonio L; Polvani, Gianluca; Muratori, Manuela; Ferrari, Cristina; Penza, Eleonora; Arlati, Francesco G; Agrifoglio, Marco · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

Swan-Ganz catheter entrapment in the heart, vena cava, or pulmonary artery is rare but may lead to life-threatening events. We report a case of severe tricuspid regurgitation resulting from papillary muscle rupture during percutaneous removal of a Swan-Ganz catheter (SCG) caught by a surgical suture. We performed urgent tricuspid valve repair by suturing the ruptured papillary muscle. This report highlights preventive measures to avoid suture-related entrapment and raises a word of caution regarding percutaneous removal of accidentally entrapped SCGs.

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