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Swan-Ganz导管所致肺动脉假性动脉瘤:一例未经干预完全消退的病例

Swan-Ganz catheter-induced pulmonary artery pseudoaneurysm: a case of complete resolution without intervention.

作者信息

You C K, Whatley G S

机构信息

Department of Surgery, Camp Hill Medical Centre, Halifax, NS.

出版信息

Can J Surg. 1994 Oct;37(5):420-4.

PMID:7922906
Abstract

Pulmonary artery pseudoaneurysm is a well-recognized and potentially lethal complication of pulmonary artery catheterization. A surgical or interventional radiologic approach has been advocated as the treatment of first choice. A pulmonary artery pseudoaneurysm developed in 70-year-old woman after the insertion of a Swan-Ganz catheter for an abdominal aortic aneurysm. Over a 4-month period the pseudoaneurysm regressed and disappeared radiologically. This represents the first report of such an occurrence. The radiographic findings and review of the literature are discussed.

摘要

肺动脉假性动脉瘤是肺动脉导管插入术一种公认的、有潜在致命风险的并发症。手术或介入放射学方法已被提倡作为首选治疗方法。一名70岁女性在因腹主动脉瘤插入Swan-Ganz导管后发生了肺动脉假性动脉瘤。在4个月的时间里,假性动脉瘤在影像学上逐渐消退并消失。这是此类情况的首次报告。本文讨论了影像学表现及文献回顾。

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