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