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Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle in tetralogy of fallot patient undergoing total intracardiac repair – A case report


1 Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, Punjab, India
2 Department of Cardiothoracic and Vascular Surgery, Adesh Medical College, Bathinda, Punjab, India
3 Department of Anaesthesia and Intensive Care, Adesh Medical College, Bathinda, Punjab, India

Correspondence Address:
Sunder Lal Negi
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_136_18

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Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 331-333

 

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Central venous catheterization is an essential procedure in patient undergoing cardiac surgery, as it provides central venous pressure monitoring, fluid administration, and infusion of inotropes during perioperative period. In the cardiac surgery, where the patients are anticoagulated, an inadvertent arterial puncture can lead to serious complications. Hematoma following inadvertent arterial puncture is one of the common complications, which can compromise cerebral circulation. We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein.






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1 Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, Punjab, India
2 Department of Cardiothoracic and Vascular Surgery, Adesh Medical College, Bathinda, Punjab, India
3 Department of Anaesthesia and Intensive Care, Adesh Medical College, Bathinda, Punjab, India

Correspondence Address:
Sunder Lal Negi
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_136_18

Rights and Permissions

Central venous catheterization is an essential procedure in patient undergoing cardiac surgery, as it provides central venous pressure monitoring, fluid administration, and infusion of inotropes during perioperative period. In the cardiac surgery, where the patients are anticoagulated, an inadvertent arterial puncture can lead to serious complications. Hematoma following inadvertent arterial puncture is one of the common complications, which can compromise cerebral circulation. We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein.






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