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A rare cardiac complication of left-sided tunneled hemodialysis catheter insertion


1 Department of Nephrology, Institute of Nephro Urology, Bengaluru, Karnataka, India
2 Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
3 Department of Cardiothoracic Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India

Correspondence Address:
Nishanth Khandenahallipalya Ravindranath,
#54, 4th Sector, HSR Layout, Bengaluru - 560 102, Karnataka
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajim.ajim_79_21

Left atrial perforation during central venous catheter insertion is an extremely rare complication which can have catastrophic outcomes if left unrecognized. We describe a rare case of the left atrial catheter malposition during tunneled hemodialysis catheter insertion from the left internal jugular vein, which was managed successfully by surgical reposition and simultaneously vascular access was secured by salvaging the same catheter in a patient with poor arteriovenous anatomy for surgical arteriovenous fistula.


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    -  Ravindranath NK
    -  Moorthy N
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