Korean J Med.  2011 Dec;81(6):769-774.

Swan-Ganz Catheter-Induced Pulmonary Artery Rupture and Atelectasis Caused by a Bronchial Thrombus

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. jhs2003@hanyang.ac.kr

Abstract

The use of pulmonary artery catheters has increased considerably since the Swan-Ganz catheter was first introduced in 1970. It is extremely helpful in the management of critically ill patients and in pulmonary hypertension. However, its manipulation carries potential risks, including subclavian or carotid artery laceration, pneumothorax, thoracic duct laceration, phrenic nerve injury, air embolism, arrhythmias, infection, valvular damage, thrombosis, pulmonary infarction, and pulmonary artery rupture. Pulmonary artery rupture, albeit rare, remains a severe complication. Here, we present a patient who developed pulmonary artery rupture and total atelectasis of the left lung after placement of a pulmonary artery catheter.

Keyword

Pulmonary artery; Rupture; Catheterization; Swan-Ganz; Atelectasis

MeSH Terms

Arrhythmias, Cardiac
Carotid Arteries
Catheterization
Catheters
Critical Illness
Embolism, Air
Humans
Hypertension, Pulmonary
Lacerations
Lung
Phrenic Nerve
Pneumothorax
Pulmonary Artery
Pulmonary Atelectasis
Pulmonary Infarction
Rupture
Thoracic Duct
Thrombosis
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