GVM Care and Research, Interventional Cardio-Angiology Unit, Cotignola, Italy.
Catheter Cardiovasc Interv. 2010 Oct 1;76(4):578-81. doi: 10.1002/ccd.22564.
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.
肺动脉导管插入术是诊断和治疗肺部或心脏疾病的有用工具。该操作被认为是安全的，且主要并发症的发生率较低。然而，右心导管检查过程中肺动脉破裂虽然罕见，但仍是一种严重的并发症。尽管采用现代的金属线圈栓塞、选择性插管和支气管阻塞器放置进行治疗，死亡率仍可能高达 50%。在此，我们报告了一种基于支架移植的新方法来处理因 Swan-Ganz 导管引起的肺动脉破裂，成功地封堵了肺动脉穿孔，最终使肺动脉分支保持通畅并恢复正常的前向血流。
