PMC4681828_01
Chest X-ray post-op.
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fig1
Post-op chest and abdominal X-rays were taken, seen in Figures 1 and 2, and the patient was transferred to the ICU for further resuscitation and stabilization of hemodynamics.
Post-op abdomen X-ray showing bullet fragment in left upper quadrant.
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fig2
Post-op chest and abdominal X-rays were taken, seen in Figures 1 and 2, and the patient was transferred to the ICU for further resuscitation and stabilization of hemodynamics.
EKG strip showing ventricular tachycardia.
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fig3
The patient developed nonsustained runs of ventricular tachycardia 3 days after the second operation, visible in Figure 3.
Chest X-ray AP view showing catheter projected over right atrium and superior IVC.
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fig4
Four days post-op the source of the patient's arrhythmia remained a mystery until a chest X-ray revealed a piece of what was suspected to be a fractured central catheter, seen in Figure 4.
Confirmatory CT of radiopaque catheter, 10 cm, tubing extending from retrohepatic IVC through the right atrium into the low SVC.
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fig5
A Chest CT imaging was performed which confirmed the suspicions produced by the chest X-ray, shown in Figure 5.
Triple loops snare used to retrieve catheter fragment.
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fig6
A fluoroscopy guided percutaneous intervention resulted in retrieval of the 10 cm catheter fragment via a triple loops snare, demonstrated in Figures 6 and 7.
Another view of the catheter fragment retrieval procedure.
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fig7
A fluoroscopy guided percutaneous intervention resulted in retrieval of the 10 cm catheter fragment via a triple loops snare, demonstrated in Figures 6 and 7.
Embolized catheter fragment.
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fig8
The removed catheter fragment was briefly inspected and can be seen in Figure 8.
Follow-up image of IVC showing wide patency after removal of catheter fragment.
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fig9
Repeat chest imaging confirmed successful removal of the catheter fragment, as seen in Figure 9.