Iatrogenic Right Heart Failure Due To Central Vein Catheterization: A Rare Complication

Abstract

Introduction: Central venous catheterization (CVC) is an invasive procedure used for many reasons in clinics such as hemodynamic monitoring, fluid and drug administration and hemodialysis. It is an unlikely problem to forget the central catheter wire (CW) in the intravascular area and this has dangerous consequences. Causes such as inattention, inexperience, time constraints due to workload, fatigue and the absence of accompaniment by a more experienced clinician are the main reasons for this complication. Case Report: In this article, we present a case of forgotten CW starting from the subclavian vein and making a ring around the tricuspid valve in the right atrium, extending to the vena iliaca communis dextra. This prevented tricuspid valve closure and led to decompensated right heart failure. This complication was not reported previously. Conclusion: CVC is a commonly used method. It provides great benefit in follow-up and treatment. It should be kept in mind that forgotten wires can cause right heart failure secondary to mechanical tension on the tricuspid valve as one of its complications.