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KMID : 0356019940090010051
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Koean Jounral of Critical Care Medicine
1994 Volume.9 No. 1 p.51 ~ p.55
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A Case of Pulmonary Infarction Following Pulmonary Artery Catheterization for General Anesthesia of Coronary Artery Bypass Graft
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Abstract
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In l970, Swan and colleagues first described the use of a flow-directed balloon tipped catheter for cannulation of pulmonary artery. Since then, this technique has been widely used clinically in spite of many complications such as arrthymia, conduction block, intracardiac knotting of the catheter, iatrogenic pulmonary artery rupture, pulmonary infarction and thrombocytopenia etc.
We experienced a case of rare pulmonary infarction after pulmonary artery catheterization for monitoring of general anesthesia in sixty eight year old man who underwent coronary bypass graft(CABG)
Pulmonary infarction was confirmed by immediate post-operative chest X-ray at Inten-sive Care Unit.
On1y symptoms during anesthesia were a little amount of hemoptysis and sight increase of peak airway pressure without any evident changes of vital signs and significant blood gas findings.
We removed the pulmonary artery catheter immediately after diagnosis of pulmonary infarction.
Post-operative 6 weeks chest X-ray revealed complete resolution of infiltration of pulmonary infarction.
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