Inadvertent puncture of dilated right ventricle during transversus thoracic muscle plane block: Lessons learnt

Abstract

The transversus thoracic muscle plane (TTP) block is gaining widespread recognition in cardiac surgery, particularly in facilitating fast-tracking. Here, we report a case of inadvertent puncture of the right ventricle (RV) during the administration of ultra sound-guided (USG) TTP block in a 3-year-old child posted for atrial septal defect (ASD) closure and mitral valve repair. We also discuss the care that should be taken to avoid such complications and such cases require extra caution during TTP block.

Keywords

• haemopericardium
• right ventricular puncture
• transversus thoracic muscle plane block