Inadvertent placement of pulmonary artery catheter in persistent left superior vena cava, detected by transesophageal echocardiography

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  • Takahashi Tetsuro
    Department of Anesthesia and Intensive Care, Ichinomiyanishi Hospital
  • Note Hideaki
    Department of Anesthesia and Intensive Care, Ichinomiyanishi Hospital
  • Nakano Miki
    Department of Anesthesia and Intensive Care, Ichinomiyanishi Hospital
  • Kawade Kenji
    Department of Anesthesia and Intensive Care, Ichinomiyanishi Hospital
  • Miyamoto Yousuke
    Department of Cardiovascular Surgery, Ichinomiyanishi Hospital
  • Kaneko Kan
    Department of Cardiovascular Surgery, Ichinomiyanishi Hospital
  • Tsubouchi Hiroki
    Department of Anesthesia and Intensive Care, Ichinomiyanishi Hospital

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  • 肺動脈カテーテルの左上大静脈遺残迷入を経食道心エコー図で診断した一例

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<p>Pulmonary artery catheterization (PAC) is useful for monitoring critically ill patients. Several reports have documented that catheterization of the persistent left superior vena cava (PLSVC) has been associated with serious complications. Herein, we report inadvertent placement of a PAC in the PLSVC through the coronary sinus after mitral valve repair surgery, confirmed by transesophageal echocardiography (TEE) in the ICU. We experienced difficulty in detecting inadvertent placement of a PAC in the PLSVC by chest X-ray and pulmonary artery pressure waveform due to pre-existing cardiomegaly or the situation where percutaneous cardiopulmonary support is provided; TEE might be useful for detecting incorrect PAC insertion.</p>

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