Journal of Indonesia Vascular Access
Vol. 1 No. 1 (2021): (Available Online: June 2021)

Central venous catheters retention in a patient with mitral valve replacement: a case report

Ngurah Dwiky Abadi Resta (Division of Cardiac Thoracic and Vascular Surgery, Department of Surgery, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali, Indonesia)
I Nyoman Semadi (Division of Cardiac Thoracic and Vascular Surgery, Department of Surgery, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali, Indonesia)
I Komang Adhi Parama Harta (Division of Cardiac Thoracic and Vascular Surgery, Department of Surgery, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali, Indonesia)
I Wayan Sudarma (Division of Cardiac Thoracic and Vascular Surgery, Department of Surgery, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali, Indonesia)
Ketut Putu Yasa (Division of Cardiac Thoracic and Vascular Surgery, Department of Surgery, Universitas Udayana, Sanglah General Hospital, Denpasar, Bali, Indonesia)



Article Info

Publish Date
15 Jun 2021

Abstract

Background: Retention of central venous catheters (CVC) is one complication that may occur when open-heart surgery is performed (such as mitral valve replacement). In this case report, we describe case retention of CVC in a patient with Mitral Valve Replacement (MVR) related to sutured of Superior Vena Cava (SVC) wall on cannulation site. Case Presentation:  A 15-year-old boy was admitted to Sanglah Hospital with a history of Heart failure with severe regurgitation of the mitral valve, severe tricuspid regurgitation, and left ventricular dysfunction due to rheumatic heart disease. Mitral valve replacement, tricuspid valve repair and left atrial reduction was performed. After five days of postoperative observation, the CVC could be removed. However, there is resistance when removing the catheter. After diagnostic examination, it was found that the CVC was sutured to the superior vena cava wall. The patient was then scheduled for a redo sternotomy to evacuate the CVC. The patient was discharged seven days after redo sternotomy was performed without any further postoperative complications. Conclusions: Retention of CVC during open-heart surgery is one complication that increases the risk for morbidity or mortality to the patient after heart surgery.

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Journal Info

Abbrev

JINAVA

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology

Description

Journal of Indonesia Vascular Access; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. INAVA publishes articles that encompass basic research/clinical studies related to the cardiovascular and thorax field. The Journal aims to ...