Perforation of the pulmonary artery with Swan-Ganz catheters: diagnosis and surgical management

Swan-Ganz catheters have become a very valuable and frequently used method of monitoring hemodynamics in sick patients. Although the incidence of complications is very low, more reports are beginning to appear. One of the more serious complications is the rupture of the pulmonary artery. This report...

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Published in:Annals of surgery 1981-06, Vol.193 (6), p.686-692
Main Authors: Kelly, Jr, T F, Morris, Jr, G C, Crawford, E S, Espada, R, Howell, J F
Format: Article
Language:English
Subjects:
Adult
Aged
Bronchial Spasm - etiology
Catheterization - adverse effects
Female
Hemodynamics
Hemoptysis - etiology
Hemorrhage - etiology
Humans
Lung - diagnostic imaging
Lung Diseases - etiology
Male
Middle Aged
Pulmonary Artery - injuries
Pulmonary Artery - surgery
Radiography
Rupture
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container_end_page 692
container_issue 6
container_start_page 686
container_title Annals of surgery
container_volume 193
creator Kelly, Jr, T F
Morris, Jr, G C
Crawford, E S
Espada, R
Howell, J F
description Swan-Ganz catheters have become a very valuable and frequently used method of monitoring hemodynamics in sick patients. Although the incidence of complications is very low, more reports are beginning to appear. One of the more serious complications is the rupture of the pulmonary artery. This report concerns three patients who had a rupture of the pulmonary artery who survived, including one of almost fatal exanguination. A literature review of all cases of pulmonary artery rupture is presented. Fifty-three per cent (8/15) were fatal. Emphasis is placed on the prevention of this by using the guidelines. Discussion also covers possible contributing causes and treatment. A high index of suspicion is necessary whenever a patient with the catheter has hemoptysis or unexplained cardiac or respiratory changes.
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recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1345152
source Open Access: PubMed Central
subjects Adult
Aged
Bronchial Spasm - etiology
Catheterization - adverse effects
Female
Hemodynamics
Hemoptysis - etiology
Hemorrhage - etiology
Humans
Lung - diagnostic imaging
Lung Diseases - etiology
Male
Middle Aged
Pulmonary Artery - injuries
Pulmonary Artery - surgery
Radiography
Rupture
title Perforation of the pulmonary artery with Swan-Ganz catheters: diagnosis and surgical management
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