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KMID : 0356920140670050346
Korean Journal of Anesthesiology
2014 Volume.67 No. 5 p.346 ~ p.349
Pulmonary alveolar hemorrhage from a pulmonary artery false aneurysm after Swan-Ganz catheterization in a thoracic aortic aneurysm patient: a case report
Sugiyama Daisuke

Ikeno Shigeo
Tsuchihashi Tetsuya
Yokota Shigeru
Ina Hiroaki
Kono Tetsuya
Yamashita Kunihiko
Kawamata Mikito
Abstract
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.
KEYWORD
False aneurysm, Pulmonary artery, Swan-Ganz catheterization
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