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Case Reports in Anesthesiology
Volume 2011, Article ID 760426, 4 pages
http://dx.doi.org/10.1155/2011/760426
Case Report

Inadvertent Entrapment of a Central Venous Catheter by a Purse-String Suture during Cardiopulmonary Bypass: A Case Report

1Anesthesiology Department, Bushehr University of Medical Sciences, Bushehr, Iran
2Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran

Received 9 October 2011; Accepted 3 November 2011

Academic Editors: G. Gueret and T. Ho

Copyright © 2011 Abdorasoul Anvaripour et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 65-year-old female patient with severe mitral valve stenosis plus coronary artery disease was scheduled for mitral valve replacement and 2-vessel coronary artery bypass graft (CABG) surgeries simultaneously. After a successful procedure, resistance was met on a CVC withdrawal. During postoperative fluoroscopy, fixation of the catheter at the heart was confirmed which necessitated reopening the chest, cutting the suture, and removing the catheter. When a catheter became hard to withdraw after open heart surgery, we should never withdraw it forcefully and blindly. Although rare, one should consider inadvertent entrapment of CVC by a suture as the possible cause.