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

Ann Thorac Surg. 2017 Sep;104(3):e225-e226. doi: 10.1016/j.athoracsur.2017.03.035.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheterization, Swan-Ganz / adverse effects*
  • Catheterization, Swan-Ganz / instrumentation*
  • Device Removal*
  • Female
  • Humans
  • Papillary Muscles / surgery
  • Sutures / adverse effects*
  • Tricuspid Valve Insufficiency / diagnosis
  • Tricuspid Valve Insufficiency / etiology*
  • Tricuspid Valve Insufficiency / surgery*