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

Published Online: August 10th 2018 Heart International 2014;9(1):30-32
Authors: Anthony W. Wassef, Malek Kass, Gurpreet Parmar, Amir Ravandi
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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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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

2014-05-20T00:00:00

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