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Hypertension is the leading modifiable risk factor for global cardiovascular disease, responsible for an estimated 10.8 million deaths and more than 200 million disability-adjusted life years annually.1 Despite the availability of effective pharmacological and lifestyle interventions, prevalence continues to rise, particularly in low- and middle-income countries (LMICs), where over three-quarters of all cases now occur.2 The condition’s […]

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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