Year : 2018  |  Volume : 12  |  Issue : 3  |  Page : 462-464

Pulmonary artery catheter entrapment after mitral valve surgery and the use of transesophageal echocardiography to accurately determine the site of entrapment

1 Department of General Surgery, Faculty of Medicine, National University of Malaysia Medical Centre, Kuala Lumpur; Clinical Research Centre, Hospital Sultan Ismail; Department of Cardiothoracic Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia
2 Department of Cardiothoracic Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia

Correspondence Address:
Dr. Henry Tan Chor Lip
Department of Cardiothoracic Surgery, Hospital Sultanah Aminah, Jalan Abu Bakar, Masjid Sultan Abu Bakar, 80000 Johor Bahru, Johor
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.SJA_674_17

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The prevalence of pulmonary artery catheter (PAC) entrapment in open-heart surgery is scarce with a prevalence rate of 0.065%. Challenges in managing such cases lie particularly in choosing the modalities (chest roentgenogram, fluoroscopy, and transesophageal echocardiography) to accurately identify the anatomic location and cause of entrapment. In this case, we report a 42-year-old man who underwent mitral valve replacement with PAC entrapment discovered on postoperative day 2 and subsequently underwent retrieval after re-sternotomy. This case also highlights the usefulness of transesophageal echocardiography by the cardiac anesthetist in aiding the surgeons to locate the anatomic location where the catheter was entrapped.

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