Document Detail

Swan-Ganz catheter-induced severe complications in cardiac surgery: right ventricular perforation, knotting, and rupture of a pulmonary artery.
MedLine Citation:
PMID:  16684066     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The role of Swan-Ganz catheterization for cardiac surgery and perioperative management has recently been scrutinized. METHODS: Prospective observational study for serious complications related to Swan-Ganz catheterization. 7150 patients undergoing cardiac operations at a major European heart center and academic setting. 3730 Swan-Ganz catheter placements for cardiac surgery (7.5 French Swan-Ganz Catheter Baxter, heparin coated). RESULTS: We observed four serious complications related to Swan-Ganz catheterization and placement (0.1%): A right ventricular free wall perforation occurred, one trouble with knotting, and two pulmonary artery ruptures. The right ventricular perforation was controlled with a suture, the knot was tightened, and the catheter withdrawn through insertion. The first case of pulmonary artery rupture was treated conservatively. All of these patients survived. The other pulmonary artery rupture occurred during coronary artery bypass grafting. Emergency lobectomy was performed. This patient died due to bleeding during the early postoperative course. CONCLUSION: The incidence of serious Swan-Ganz catheter complications in our patient population is comparable to the incidence reported in the literature. Based on these results the use of Swan-Ganz catheters in cardiac surgery is still justified since the rate of associated serious complications is extremely low. Despite the rare occurrence of serious complications and the infrequent fatal outcomes, the benefit of its use in selected cases of cardiac surgery overweight its associated complications.
Torsten Bossert; Jan F Gummert; Hartmuth B Bittner; Markus Barten; Thomas Walther; Volkmar Falk; Friedrich W Mohr
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  21     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-05-10     Completed Date:  2006-10-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  292-5     Citation Subset:  IM    
Department of Cardiac Surgery, University of Leipzig, Heart Center, Germany.
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MeSH Terms
Aged, 80 and over
Cardiac Surgical Procedures / adverse effects,  instrumentation*
Catheterization, Swan-Ganz / adverse effects*
Equipment Failure
Follow-Up Studies
Heart Rupture / etiology*,  radiography
Heart Ventricles / injuries*
Intraoperative Complications
Middle Aged
Pulmonary Artery / injuries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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