A Retained Intracardiac Catheter Contributing to Worsening Heart Failure and Atrial Fibrillation: Investigation and Management

Emily Tat; Yonatan Bitton-Faiwiszewski; Robert Zilinyi; Sahil A Parikh

doi:10.1016/j.jaccas.2021.10.004

A Retained Intracardiac Catheter Contributing to Worsening Heart Failure and Atrial Fibrillation: Investigation and Management

JACC Case Rep. 2021 Dec 1;3(17):1849-1854. doi: 10.1016/j.jaccas.2021.10.004.

Authors

Emily Tat¹, Yonatan Bitton-Faiwiszewski¹, Robert Zilinyi¹, Sahil A Parikh¹

Affiliation

¹ Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA.

Abstract

A retained intracardiac catheter fragment left in situ for 2 years was incidentally found in a patient presenting with worsening heart failure and atrial fibrillation. This case describes the diagnostic evaluation of this rare event, with successful endovascular retrieval and resolution of his symptoms. (Level of Difficulty: Advanced.).

Keywords: AF, atrial fibrillation; CVC, central venous catheter; ECG, electrocardiogram; LVEF, left ventricular ejection fraction; MAUDE, Manufacturer and User Facility Device Experience; RA, right atrium; RHC, right heart catheterization; RV, right ventricle; Swan-Ganz catheter; TR, tricuspid regurgitation; TTE, transthoracic echocardiogram; catheter fracture; central venous catheter; intracardiac foreign body.

Publication types

Case Reports