Rupture of Pulmonary Artery by Swan-Ganz Catheter: A Cause of Postoperative Bleeding after Open-Heart Operation
1981; Elsevier BV; Volume: 32; Issue: 4 Linguagem: Inglês
10.1016/s0003-4975(10)61767-5
ISSN1552-6259
AutoresRamon S. Cuasay, Gerald M. Lemole,
Tópico(s)Ultrasound in Clinical Applications
ResumoFifteen patients with rupture of the pulmonary artery by a Swan-Ganz catheter have been reported to date; 6 of them survived.The patient considered here underwent open-heart operation and then had severe bleeding secondary to distal pulmonary arterial rupture by a flow-directed balloon-tipped Swan-Ganz catheter.Knowledge of this specific complication may avoid needless delay in the diagnosis and control of postoperative bleeding.Pulmonary hemorrhage complicating the use of the flow-directed balloon-tipped Swan-Ganz catheter is rare.Only 15 patients with this problem have been reported previously [l-101.We present here the case of another patient with pulmonary bleeding, one in whom the source of bleeding was documented at exploratory thoracotomy following open-heart operation.A 61-year-old woman had been known to have a heart murmur since she was 18 years old and had been hypertensive since she was 36.At the age of 55 years, she was hospitalized for acute pulmonary edema.She was referred to the Deborah Heart and Lung Center for cardiac catheterization.Findings on physical examination included blood pressure of 130/80 mm Hg and regular sinus rhythm of 76 beats per minute.There was a systolic thrill over the heart and a left ventricular heave at the apex.A grade 5/6 harsh pansystolic murmur was heard best at the apex with transmission to the left axilla.Two-
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