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Dilated ascending aorta is associated with the difficulty in correct placement of pulmonary artery catheter


1 Department of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
2 Department of Emergeny Medicine, Provincial Medial Services Uttar Pradesh, Lucknow, India

Correspondence Address:
Mukesh Tripathi
Type V B/20, Campus, SGPGIMS, Lucknow 226 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.95078

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Year : 2012  |  Volume : 15  |  Issue : 2  |  Page : 138-140

 

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The present case report highlights that a tense mega-sized aortic root and ascending aorta can mechanically resist the passage of fully inflated (1.5 ml air) balloon to wedge-trace position in the pulmonary artery. Any attempt to push the catheter rather predisposed its recoiling and rebutting into the right ventricle and the cardiac arrhythmia. Inflating continuous cardiac output catheter balloon with lesser volume of air (1 ml) is suggested to overcome this problem.






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1 Department of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
2 Department of Emergeny Medicine, Provincial Medial Services Uttar Pradesh, Lucknow, India

Correspondence Address:
Mukesh Tripathi
Type V B/20, Campus, SGPGIMS, Lucknow 226 014
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.95078

Rights and Permissions

The present case report highlights that a tense mega-sized aortic root and ascending aorta can mechanically resist the passage of fully inflated (1.5 ml air) balloon to wedge-trace position in the pulmonary artery. Any attempt to push the catheter rather predisposed its recoiling and rebutting into the right ventricle and the cardiac arrhythmia. Inflating continuous cardiac output catheter balloon with lesser volume of air (1 ml) is suggested to overcome this problem.






[FULL TEXT] [PDF]*


        
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