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Anesth Analg 2006;102:363-365
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000195340.65783.81

CARDIOVASCULAR ANESTHESIA

Inadvertent Placement of a Flow-Directed Pulmonary Artery Catheter in the Coronary Sinus, Detected by Transesophageal Echocardiography

Robina Matyal, MD, Feroze Mahmood, MD, Peter Panzica, MD, John Mitchell, MD, Sheila Barnett, MD, Marybeth Hyde, MD, David Campbell, MD, and Kyung W. Park, MD

Department of Anesthesia and Critical Care & of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts

We report a case in which flow-directed placement of the pulmonary artery catheter led to its inadvertent placement in the coronary sinus, in the absence of congenital anomalies. Incorrect placement was diagnosed by use of the transesophageal echocardiography. If unrecognized, the catheter might have provided misleading information and led to mismanagement of the patient.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.