Severe Tricuspid Regurgitation After Percutaneous Removal of a Swan-Ganz Catheter Caught by Suture

• DOI: 10.1016/j.athoracsur.2017.03.035
• Publication Date: 2017-08-25T17:47:09Z
• Authors: Marco Gennari; Antonio L. Bartor...; Gianluca Polvani; Manuela Muratori; Cristina Ferrari; Eleonora Penza; Francesco G. Arlati; Marco Agrifoglio
• Keywords: Sutures; Papillary Muscles; 16. Peace & justice; Tricuspid Valve Insufficiency; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Catheterization, Swan-Ganz; Humans; Female; Device Removal; Aged

Swan-Ganz catheter entrapment in the heart, vena cava, or pulmonary artery is rare but may lead to life-threatening events. We report a case of severe tricuspid regurgitation resulting from papillary muscle rupture during percutaneous removal of a Swan-Ganz catheter (SCG) caught by a surgical suture. We performed urgent tricuspid valve repair by suturing the ruptured papillary muscle. This report highlights preventive measures to avoid suture-related entrapment and raises a word of caution regarding percutaneous removal of accidentally entrapped SCGs.