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Irving L. Kron
Axel W. Joob
Stanton P. Nolan
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Ann Thorac Surg 1985;39:223-224
© 1985 The Society of Thoracic Surgeons

Articles

Arch Vessel Injury during Pulmonary Artery Catheter Placement

Irving L. Kron, M.D.*, Axel W. Joob, M.D., Carol L. Lake, M.D., Stanton P. Nolan, M.D.

From the Departments of Surgery and Anesthesiology, University of Virginia Medical Center, Charlottesville, VA

Accepted for publication May 3, 1984.

* Address reprint requests to Dr. Kron, Box 181, Department of Surgery, University of Virginia Medical Center, Charlottesville, VA 22908

We have observed seven instances of unintentional cannulation of major arteries with 8F sheaths during preparation for open-heart operation. When the sheath was removed and the operation delayed, there were no complications; in the two instances in which the open-heart operation was performed immediately after arterial cannulation, there was 1 death due to hemorrhage and 1 false aneurysm of the carotid artery. Elective open-heart operations should be delayed if unintentional cannulation of a major artery occurs.




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