European Journal of Cardio-Thoracic Surgery, Vol 11, 379-380, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Transatrial access for left atrial pressure monitoring in cardiac surgery patients
R Zahorec and M Holoman
Department of Anesthesiology, Intensive Care and Cardiac Surgery, Institute of Cardiovascular Diseases, Bratislava, Slovak Republic.
We describe a simple method for left atrial pressure (LAP) monitoring from
the right to the left atrium (LA) by a central line catheter. The
anesthesiologist cannulates vena jugularis interna and inserts two central
line catheters. One catheter is placed in the vena cava superior and the
second single-lumen catheter is placed in the right atrium. The surgeon
positions a one-line catheter from the right in the LA during the
transatrial surgical procedure. This new access diminishes bleeding
complications.