AI Article Synopsis
- A 38-year-old man experienced chest pain sixteen years after a severe work-related accident during which a pulmonary artery catheter was retained in his heart.
- Investigations revealed the catheter fragment in his right ventricle, but he had shown no symptoms of complications over the years.
- Medical professionals decided against retrieval due to low risk of complications at this stage, emphasizing the importance of recognizing long-term risks associated with retained catheters and the need for vigilance in emergency settings.
Article Abstract
Sixteen years after a long admission for a serious occupational accident, a 38-year-old man presented with intermittent atypical chest pain. Upon investigations a retained fragment of a pulmonary artery catheter was found in the right ventricle. Throughout the years between his accident and the current presentation he did not have any symptoms or signs of complications associated with the retained catheter such as arrhythmia, sepsis or thromboembolism. Upon presenting his case at the medical/surgical multidisciplinary meeting it was decided that the probability of complications occurring at this stage was low as the catheter fragment would have endothelialised and the risk of retrieval would outweigh the benefits. This scenario highlighted the importance of understanding the possible long-term complications of retained catheter fragments, the importance of being aware of the limitation of these devices and the need to be more vigilant in the emergency setting.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618695 | PMC |
| http://dx.doi.org/10.1136/bcr-2013-008640 | DOI Listing |
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