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      Sinus of valsalva aneurysm and ventricular tachycardia during pulmonary artery catheterization.

      1 ,

      Anesthesia and analgesia

      Ovid Technologies (Wolters Kluwer Health)

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          Abstract

          Pulmonary artery catheterization is associated with numerous complications, including serious arrhythmias. We report a case where ventricular tachycardia occurred repeatedly during attempted pulmonary artery catheterization, precluding successful catheterization. Transesophageal echocardiography was used to image the tricuspid valve and right ventricle and revealed a Sinus of Valsalva aneurysm protruding significantly into the right ventricle and obstructing advancement of the pulmonary artery catheter. Our case reveals another identifiable cause of serious arrhythmia during pulmonary artery catheterization and highlights how transesophageal echocardiography can be useful in unanticipated ways during cardiac anesthesia and surgery.

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          Author and article information

          Affiliations
          [1 ] Department of Anesthesiology, University of Rochester, Rochester, New York 14642, USA.
          Journal
          Anesth. Analg.
          Anesthesia and analgesia
          Ovid Technologies (Wolters Kluwer Health)
          1526-7598
          0003-2999
          Feb 2006
          : 102
          : 2
          16428524 102/2/369 10.1213/01.ane.0000189255.30188.cc

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