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Postoperative life-threatening recurrent ventricular arrhythmia triggered by the swan-ganz catheter in a patient undergoing off-pump coronary artery bypass surgery

, : Postoperative life-threatening recurrent ventricular arrhythmia triggered by the swan-ganz catheter in a patient undergoing off-pump coronary artery bypass surgery. Korean Journal of Thoracic and Cardiovascular Surgery 47(4): 416-419

Recurrent ventricular arrhythmia can be fatal and cause serious complications, particularly when it is caused immediately after an operation. Incorrect placement of a Swan-Ganz catheter can trigger life-threatening ventricular arrhythmia, but even intensive care specialists tend to miss this fact. Here, we report a case of recurrent ventricular arrhythmia causing a severe hemodynamic compromise; the arrhythmia was induced by a severely angulated Swan-Ganz catheter. The recurrent ventricular arrhythmia was not controlled by any measures including repositioning of the catheter, until the complete removal of the Swan-Ganz catheter. It is necessary to keep in mind that the position of the pulmonary artery catheter should be promptly checked if there is intractable recurrent ventricular arrhythmia.


PMID: 25207256

DOI: 10.5090/kjtcs.2014.47.4.416

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