Transatrial access for left atrial pressure monitoring in cardiac surgery patients

Eur J Cardiothorac Surg. 1997 Feb;11(2):379-80. doi: 10.1016/s1010-7940(96)01004-4.

Abstract

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.

MeSH terms

  • Atrial Function, Left / physiology
  • Blood Pressure / physiology
  • Blood Pressure Monitors*
  • Cardiopulmonary Bypass
  • Catheterization, Central Venous / instrumentation*
  • Heart Atria*
  • Heart Diseases / surgery*
  • Humans
  • Postoperative Care
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / physiopathology
  • Ventricular Function, Left / physiology