IATROGENIC RIGHT HEART FAILURE DUE TO THE CENTRAL VEN CATHETERIZATION: A RARE COMLPLICATION

Öz

Introduction: Central Venous Catheterization (CVC) is an invasive procedure used for many reasons in the clinics such as hemodynamic monitoring, fluid and drug administration and hemodialysis. It is unlikely problem to forget central catheter wire (CW) in intravascular area and this creates dangerous consequences. Causes such as inattention, inexperience, time constraints due to workload, fatigue and the absence of accompaniment from a more experienced clinician are the main reasons for this complication. Case Report: We present in this article, a case of forgotten CW starting from subclavian vein and making a ring around the tricuspid valve in the right atrium, extending to the vena iliaca communis dextra and meanwhile, preventing the tricuspid valve closure and leading to decompensated right heart failure. This complication has not been reported previously. Conclusion: CVC is a commonly used method. It gives us great benefit in follow-up and treatment. It should be kept in mind that the forgotten wire can cause a right heart failure secondary to mechanical tension on the tricuspid valve; as one of its complications.

Anahtar Kelimeler

• Central venous catheterization
• right heart failure
• forgotten catheter wire

Kaynakça

1. Doğan N, Becit N, Kızılkaya M, Ünlü Y. Santral venöz kanülasyonuna bağlı nadir bir komplikasyon. Türk Göğüs Kalp Damar Cer Derg 2004;12:135-7.
2. Kusminsky RE. Complications of central venous catheterization. J Am Coll Surg 2007;204:681-696.
3. Batra RK, Guleria S, Mandal S. Unusual complication of internal jugular vein cannulation. Indian J Chest Dis Allied Sci 2002;4:137-9.
4. Morgan GE Jr, Mikhail MS, Murray MJ. Patient monitors. In: Morgan GE Jr, Mikhail MS, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: McGraw-Hill Companies Inc; 2006 p. 100-2.
5. F. Gümüş, H. Yeter, M. K. Erol, N. Şanlı, B. Özkaynak, A. Alagöl. A Forgotten Guidewire: Complication of Central Venous Catheterization. Journal of the Turkish Society of Intensive Care 2011;9:64-7.
6. Taylor RW, Palagiri AV. Central venous catheterization. Crit Care Med 2007;35:1390-6.
7. Schummer W, Schummer C, Gaser E, Bartunek R. Loss of the guidewire: mishap or blunder? Br J Anaesth 2002;88:144-6.
8. Rando K, Castelli J, Pratt JP, Scavino M, Rey G, Rocca ME, Zunini G. Ultrasound-guided internal jugular vein catheterization: a randomized controlled Trial. Heart Lung Vessel. 2014;6:13-23.