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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

An unusual cause of ventricular tachycardia: Port-A-Cath fracture and embolization into the pulmonary artery

Anthony W. Wassef, Malek Kass, Gurpreet Parmar, Amir Ravandi
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Published Online: Aug 10th 2018 Heart International 2014;9(1):30-32 DOI: https://doi.org/10.5301/HEART.2014.12506
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Abstract

Overview

We describe the case of a patient with a previously placed Port-A-Cath who was admitted to hospital for new
onset of non-flushing catheter and palpitations with ventricular tachycardia. A chest X-ray and a linogram
showed a Port-A-Cath fracture and distal embolization into the right ventricle resulting in ventricular tachycardia.
The catheter was removed percutaneously using a Goose Neck snare with no complications and resolution
of the ventricular tachycardia. The removed segment demonstrated thrombus. Prompt removal of the embolized
catheter fragments should be undertaken given the subtle nature of the embolization and the potential
complications.

Keywords

Port-a-cath fracture, Ventricular tachycardia, Percutaneous retrieval.

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Article Information

Disclosure

Financial support: None.

Correspondence

Amir Ravandi Division of Cardiology and Physiology Rm Y3508 Bergen Cardiac Care Centre St. Boniface Hospital 409 Taché Avenue Winnipeg R2H 2A6 Manitoba, Canada aravandi@sbrc.ca

Received

2014-05-20

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