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Acute Card Care. 2015 Dec;17(4):77-79. Epub 2016 Jun 9.

Pulmonary artery rupture with pseudoaneurysm formation secondary to Swan-Ganz catheter balloon inflation.

Author information

1
a Division of Cardiology, Baystate Medical Center/Tufts University School of Medicine , Springfield , MA , USA.
2
b Department of Medicine , Baystate Medical Center/Tufts University School of Medicine , Springfield , MA , USA.

Abstract

Pulmonary artery catheters have been extensively used for hemodynamic assessment over the past several decades. We present a case that highlights the management of a known, but rare and catastrophic complication of pulmonary artery catheter based therapy. An elderly lady with acute decompensated heart failure, severe pulmonary hypertension, and atrial fibrillation on anticoagulation had a pulmonary artery catheter inserted for hemodynamic monitoring. Subsequently, the patient developed acute hemoptysis and damped pulmonary artery pressure waveforms during inflation of the catheter tip balloon. The possibility of pulmonary artery rupture was immediately recognized and confirmed with CT angiogram of the chest. Emergent interventional radiology guided coil embolization of pulmonary artery rupture and pseudoaneurysm was successful.

KEYWORDS:

Swan-Ganz catheterization; iatrogenic complication; interventional coil embolization; pulmonary artery catheterization; pulmonary artery pseudoaneurysm; pulmonary artery rupture; right heart catheterization

PMID:
27283269
DOI:
10.3109/17482941.2016.1174270
[Indexed for MEDLINE]

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