KMID : 0356920140670050346
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Korean Journal of Anesthesiology 2014 Volume.67 No. 5 p.346 ~ p.349
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Pulmonary alveolar hemorrhage from a pulmonary artery false aneurysm after Swan-Ganz catheterization in a thoracic aortic aneurysm patient: a case report
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Sugiyama Daisuke
Ikeno Shigeo Tsuchihashi Tetsuya Yokota Shigeru Ina Hiroaki Kono Tetsuya Yamashita Kunihiko Kawamata Mikito
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Abstract
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Pulmonary artery (PA) rupture caused by a PA Swan-Ganz catheter is a rare complication but remains fatal in almost 50% of cases. False aneurysm of the PA is a rare presentation of PA rupture and should be considered as a possible diagnosis in a patient with a new lung mass after PA catheterization. We present a case of sudden-onset pulmonary alveolar hemorrhage during cardiovascular surgery due to a traumatic PA false aneurysm. The Swan-Ganz catheter might have been displaced by the thoracic aortic aneurysm with displacement of the catheter causing the false aneurysm and bleeding.
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KEYWORD
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False aneurysm, Pulmonary artery, Swan-Ganz catheterization
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