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Mediport catheter through heart
dian67 posted:
Dear Dr., I am a 42 year old woman who recently had a broekn catheter line from my mediport travel through my heart. It became lodged between the right ventricle and pulmonary artery. I under went two heart cath procedures to attempt to retieve it. After two days I was sent to another hospital where they were able to get it out without open heart surgery. However, I have since started to have multiple palpitations and arythmias. The thing is that my holter showed odd results that I am not getting any clear answers on. I would indicate that I was having symptoms and nothing was noted on my strip until 10 minutes later. It was very consistent. At some points my heart rate would climb to 147. I am a very active person. I have never smoked. I had my port for TPN as a result of a surgical injury which required 90 % of my colon to be removed. I am very tired and have recently started to have severe leg swelling, especially after being on my feet for a long time.. I have also started to notice that I have blueish finger nail beds. I greatly appreciate any thing you could offer as far as your opinion. Thank You, Dian
James_Beckerman_MD responded:
I strongly recommend that you let your doctor know about these symptoms, particularly the leg swelling and blue fingernails, which could be signs of right sided congestive heart failure or even a shunt in the heart that may have occurred. Further testing (such as an echocardiogram) appears warranted.
dian67 responded:
Thank you and I will. However, I was alway under the impression that a shunt is something that is implanted and not something that occurs. Am I mistaken?
James_Beckerman_MD responded:
Maybe I should clarify. There are surgically placed shunts (which really means a "communication between two structures") and there are shunts that we can be born with (like atrial septal defects) and then there are shunts that can occur (if a piece of your catheter damaged part of your heart and created a hole where one was not present previously. Does that make more sense?
dian67 responded:
Yes, it does. Thank you again for your assistance. I have been having further trouble but have been told it is costochondritis (sp?). All I know is that it is painful! I have been told that it's probably a result of the chest trauma and the extreme amount of radiation my chest sustained during the procedures to retrieve the broken catheter.

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