Document Detail

Transthoracic right atrial cannulation for total parenteral nutrition- case report.
MedLine Citation:
PMID:  6789704     Owner:  NLM     Status:  MEDLINE    
A man with severe peripheral vascular disease and requiring total parenteral nutrition because of short bowel syndrome was referred because a central venous catheter could not be inserted by conventional techniques. A right thoracotomy was performed and a Hickman catheter inserted via the right atrial appendage into the right atrium. This catheter was used for a total of seven months for total parenteral nutrition. For the last two months of this time, the patient was maintained at home on a Home Parenteral Nutrition Programme. After four months of total parenteral nutrition the patient developed recurrent fevers and the catheter was found to have migrated from the right atrium into the pulmonary artery. The catheter was resited under X-ray control and used for a further three months until the recurrence of fever and dyspnoea heralded the onset of septic pulmonary emboli resulting in his death.
L Hayden; G R Stewart; D C Johnson; M M Fisher
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  9     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1981 Feb 
Date Detail:
Created Date:  1981-09-22     Completed Date:  1981-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  53-7     Citation Subset:  IM    
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MeSH Terms
Foreign-Body Migration / radiography
Heart Atria / surgery
Heart Catheterization / adverse effects*
Middle Aged
Parenteral Nutrition / methods*
Parenteral Nutrition, Total / methods*
Thoracic Surgery

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