[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
February 1969

Intracardiac Perforation

Author Affiliations

Iowa City
From the departments of surgery (Drs. Lawton and Rossi) and medicine (Dr. Funk), University of Iowa College of Medicine, and Veterans Administration Hospital, Iowa City.

Arch Surg. 1969;98(2):213-216. doi:10.1001/archsurg.1969.01340080105022
Abstract

Exploration of various parts of the body with needles or tubes for the purpose of securing tissue, or monitoring physiological parameters is a frequent occurrence. Almost any of these manipulations may be associated with its unique complications. In our search for a diagnosis or in pursuit of experimental data the indirect, relatively nonsurgical, approach to a system appears to be associated with minimal risk; indeed, surgical procedures of considerable magnitude may at times be avoided by the accumulation of critical knowledge about a system. Intravascular exploration via the percutaneous route can yield most useful information.

Complications may be local or general, immediate or delayed. We are interested in the immediate complications, especially cardiac perforation. We recognize the possibility that the myocardium may be unknowingly perforated with few or no symptoms; being detected several days later as a bloody pericardial effusion at time of cardiac surgery.

Investigation of the cardiac chambers

References
1.
Forssmann, W.:  Die Sodierung des Rechten Herzens , Klin Wschr 8:2085-2089 ( (July) -Dec) 1929.Article
2.
Cournand, A., et al:  Report of Committee on Cardiac Catheterization and Angiocardiography of the American Heart Association , Circulation 7:769-773 ( (May) ) 1953.Article
3.
Caldinin, P.; Gensini, G.G.: and Hoffman, M.D.:  Primary Pulmonary Hypertension With Death During Right Heart Catheterization , Amer J Cardiol 4:519-527 ( (Oct) ) 1959.Article
4.
Dalgaard, J.B.:  Fatal Right Ventricular Perforation During Cardiac Catheterization , Acta Med Scand 175( (pt 6) ):697-702, 1964.Article
5.
Dotter, C.T., and Jackson, F.S.:  Death Following Angiocardiography , Radiology 54:527-534 ( (Jan) -June) 1950.Article
6.
Goodwin, J.F.:  Fatality Following Cardiac Catheterization Injury , Brit Heart J 15:330-335 ( (July) ) 1953.Article
7.
Funke, T.; Grove, J.H.; and Lindenfeld, F.H.:  Plastic Catheter Fragment as an Embolus , Med Radiogr Photogr 2:56-57, 1961.
8.
Shine, K.I.; O'Keefe, D.; and Harthorne, J.W.:  Arteriovenous Fistula After Retrograde Brachial Catheterization , New Eng J Med 25:1431 ( (June 22) ) 1967.Article
9.
Doering, R.B.; Stemmer, E.A.; and Connolly, J.E.:  Complications of Indwelling Venous Catheter With Particular Reference to Catheter Embolus , Amer J Surg 114:259-266 ( (Aug) ) 1967.Article
10.
Taylor, F.W., and Rutherford, C.E.:  Accidental Loss of Plastic Tube Into Venous System , Arch Surg 86:177-179 ( (Feb) ) 1963.Article
11.
Gourlay, R.H.:  Two Cannula Tips in Heart Fail to Harm Health , Med News , (January) 1967, p 3.
12.
Bland, E.F., and Beebe, G.W.:  Missiles in the Heart (A 20-Year Follow-up Report of World War II cases) , New Eng J Med 274:1039-1046 ( (May 12) ) 1966.Article
13.
Lillehei, C.W.; Bonnabeau, R.C., Jr.; and Grossling, S.:  Removal of Iatrogenic Foreign Bodies Within Cardiac Chambers and Great Vessels , Circulation 32:782-787 ( (Nov) ) 1965.Article
14.
Brown, C.A., and Kent, A.:  Perforation of Right Ventricle by Polyethylene Catheter , Southern Med J 1:466-467 ( (May) ) 1956.Article
15.
Gelfand, M., et al:  Follow-Up Electrocardiographic Changes in Penetrating Wound of the Heart Treated Surgically , Angiology 3:272-290 ( (June) ) 1957.Article
16.
Herman, B.E.:  Complication of Retrograde Femoral Artery Catheterization , Arch Surg 88:374-375 ( (March) ) 1964.Article
17.
Melnick, G.S., and Giebert, G.J.:  Mechanical Hazards in Catheter Aortography , Circulation 32:876-877 ( (Dec) ) 1965.Article
18.
Mullen, D.C., et al:  Cardiac Tamponade From Ventricular Perforation by a Transvenous Pacemaker , JAMA 203:164-166 ( (Jan 8) ) 1968.Article
19.
McHenry, M., and Hopkins, D.M.:  Cardiac Tamponade as a Result of Infusion , JAMA 203:167-168 ( (March 18) ) 1968.Article
20.
Escher, D.J., et al:  Perforation of the Heart During Cardiac Catheterization and Selective Angiocardiography , Circulation 18:418-422 ( (Sept) ) 1958.Article
21.
Botham, R.J.; Rowe, G.G.; and Young, W.P.:  Pericardial Tamponade Following Percutaneous Left Ventricular Puncture , Circulation 19:741-744 ( (May) ) 1959.Article
22.
Kilpatrick, Z.M., and Chapman, C.B.:  On Pericardiocentesis , Amer J Cardiol 16:722-728 ( (Nov) ) 1965.Article
23.
McIntosh, M.: Arrhythmias, Circulation 37( (suppl 3) ):27-35 (May) 1968.Article
24.
Braunwald, E., et al: Summary, Circulation 37( (suppl 3) ):93-101 (May) 1968.
×