case_images: PMC3987453_01
case_images: Chest X - Ray Posterior - Anterior and Lateral Views Showing Dilated Main Pulmonary Artery and the Catheter
case_images: icrj-08-30-g001.jpg
case_images: PMC3987453_01_icrj-08-30-g001.jpg
case_images: fig8653
case_images: Her chest x-ray revealed marked enlargement of the main pulmonary trunk with the catheter which appeared to lie in the left heart (Figure 1).
case_images: Echocardiogram Showing the Catheter Traversing the Interatrial Septum. Abbreviations: RA, Right Atrium; LA, Left Atrium
case_images: icrj-08-30-g002.jpg
case_images: PMC3987453_01_icrj-08-30-g002.jpg
case_images: fig8654
case_images: Moreover, transthoracic echocardiography revealed severe pulmonary valve stenosis with Right Ventricular (RV) wall hypertrophy, peak systolic gradient of 76 mmHg across the Right Ventricular Outflow Tract (RVOT), the catheter traversing the interatrial septum (Figure 2), severe Tricuspid Regurgitation (TR), right ventricular dysfunction, mild pulmonary regurgitation, and normal left ventricular function.
case_images: Intraoperative Photograph of the Entrapped Catheter in the Interatrial Septum. Abbreviations: RA, Right Atrium; SVC, Superior Venacave; IVC, Inferior Venacave (Inset-extracted catheter tip)
case_images: icrj-08-30-g003.jpg
case_images: PMC3987453_01_icrj-08-30-g003.jpg
case_images: fig8655
case_images: Under cardiopulmonary bypass and antegrade blood cardioplegic arrest, right atriotomy revealed that the catheter tip was entrapped within an area of fossa ovalis (Figure 3) away from a Patent Foramen Ovale (PFO).
case_images: Intraoperative Photograph of Domed, Stenosed Bicuspid Pulmonary Valve
case_images: icrj-08-30-g004.jpg
case_images: PMC3987453_01_icrj-08-30-g004.jpg
case_images: fig8656
case_images: In addition, pulmonary arteriotomy showed (Figure 4) stenotic, bicuspid, thickened, and noncalcific pulmonary valve that allowed only Hegars dilator No. 16.