Rıza DOĞAN, Bilge ÇELEBİOĞLU, Heves Ayşe KARAGÖZ, Meral KANBAK, Banu Seda AKINCI, Murat KARA

Sağ pnömonektomi cerrahisinde sağ pulmoner arterde dikilen Swan-Ganz kateteri

Pulmoner arter kateteri (PAK)’nin, pulmoner arterde dikilmesi, ciddi pulmoner arter yaralanması gibi ölümcül bir komplikasyona yol açabilecek önemli ve nadir görülen bir komplikasyondur. Biz sağ pnömonektomi yapılan bir hastada sağ pulmoner arter içinde dikilen PAK ile ilgili olguyu anlatacağız. Bu durum, kateterin komplikasyonsuz olarak çıkarılmasıyla sonuçlandı. Bütün torakal cerrahi girişimler sırasında komplikasyonun erken tanınarak, cerrahi ekibin haberdar olmasının, PAK’ın kazayla dikilerek hapsolması riskini önlemede altın standart olduğu sonucuna vardık.

Entrapment of a Swan-Ganz catheter within the right pulmonary artery ligature during right pneumonectomy

Entrapment of a pulmonary artery catheter in the pulmonary artery is a rare and severe complication that may lead to fatal complications such as pulmonary artery injury. We describe entrapment of a Swan-Ganz catheter within the right pulmonary artery ligature in a patient undergoing right pneumonectomy. This situation resulted with removal of catheter safely without any complication. We concluded that with early recognition of the complication during thoracotomy, is golden standard in preventing pulmonary artery catheter entrapment and surgeons should be aware of the risk of accidentally transfixing pulmonary artery catheter in every type of operation that takes place in thorax.

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