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胸主动脉瘤患者行 Swan-Ganz 导管置管后肺动脉假性动脉瘤致肺泡性肺出血:1 例报告。

Pulmonary alveolar hemorrhage from a pulmonary artery false aneurysm after Swan-Ganz catheterization in a thoracic aortic aneurysm patient: a case report.

机构信息

Department of Anesthesia, Japanese Red Cross Society of Suwa Hospital, Suwa, Japan. ; Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto, Japan.

Department of Anesthesia, Japanese Red Cross Society of Suwa Hospital, Suwa, Japan.

出版信息

Korean J Anesthesiol. 2014 Nov;67(5):346-9. doi: 10.4097/kjae.2014.67.5.346. Epub 2014 Nov 26.

Abstract

Pulmonary artery (PA) rupture caused by a PA Swan-Ganz catheter is a rare complication but remains fatal in almost 50% of cases. False aneurysm of the PA is a rare presentation of PA rupture and should be considered as a possible diagnosis in a patient with a new lung mass after PA catheterization. We present a case of sudden-onset pulmonary alveolar hemorrhage during cardiovascular surgery due to a traumatic PA false aneurysm. The Swan-Ganz catheter might have been displaced by the thoracic aortic aneurysm with displacement of the catheter causing the false aneurysm and bleeding.

摘要

肺动 脉(PA)破裂由 PA Swan-Ganz 导管引起是一种罕见的并发症,但近 50%的病例仍致命。PA 假性动脉瘤是 PA 破裂的罕见表现,在 PA 导管插入术后出现新的肺部肿块的患者中,应考虑作为可能的诊断。我们报告了一例心血管手术后因创伤性 PA 假性动脉瘤导致的突发性肺泡性出血。Swan-Ganz 导管可能被胸主动脉瘤移位,导管移位导致假性动脉瘤和出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae9/4252348/a286f8d8ba82/kjae-67-346-g001.jpg

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