RT Journal Article
SR Electronic
T1 Pulmonary artery dissection induced by a Swan-Ganz catheter
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 671
OP 675
VO 51
IS 4
A1 Rosenblum, Stephen E.
A1 Ratliff, Norman B.
A1 Shirey, Earl K.
A1 Sedmak, Daniel D.
A1 Taylor, Paul C.
YR 1984
UL http://www.ccjm.org/content/51/4/671.abstract
AB A 70-year-old woman died after coronary artery bypass graft surgery. Autopsy revealed bilateral, massive, intrapulmonary hemorrhage secondary to pulmonary artery dissection induced by a Swan-Ganz catheter. Cystic medionecrosis of the pulmonary arteries was also identified. Catheter-induced pulmonary artery trauma is associated with a high mortality. Hemoptysis is the usual presenting sign. Great caution should be exercised when using Swan-Ganz catheters in elderly patients with known pulmonary hypertension, particularly in the setting of cardiac surgery or anticoagulation.