Document Detail

Swan-Ganz-induced pulmonary artery rupture: management with stent graft implantation.
MedLine Citation:
PMID:  20506369     Owner:  NLM     Status:  MEDLINE    
Pulmonary artery catheterization is a useful tool for the diagnosis and management of lung or cardiac disease. This procedure is considered safe and associated with a low incidence of major complications. However, pulmonary artery rupture during right heart catheterization, albeit rare, remains a severe complication. Despite modern management with metal-coil embolization, selective intubation and deployment of bronchial blocker, the mortality rate may be as high as 50%. In this case, we report a new approach to deal with a Swan-Ganz-induced pulmonary artery rupture based on stent graft implantation leading to successful sealing of the pulmonary perforation with final patency and normal antegrade blood flow in the pulmonary branch.
Andrea Zuffi; Giuseppe Biondi-Zoccai; Federico Colombo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  76     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  578-81     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley-Liss, Inc.
GVM Care and Research, Interventional Cardio-Angiology Unit, Cotignola, Italy.
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MeSH Terms
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Catheterization, Swan-Ganz / adverse effects*
Hemoptysis / etiology,  surgery
Hemorrhage / etiology,  surgery
Middle Aged
Pulmonary Artery / injuries,  physiopathology,  radiography,  surgery*
Pulmonary Circulation
Treatment Outcome
Vascular Patency
Comment In:
Catheter Cardiovasc Interv. 2010 Oct 1;76(4):582-3   [PMID:  20882663 ]

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