Lobar pulmonary hemorrhage. An unusual complication of Swan-Ganz catheterization

Massive lobar pulmonary hemorrhage related to Swan-Ganz catheterization represents a catastrophic complication that, to our knowledge, has received little attention in the literature. Our experience with two recent cases emphasizes the life-threatening nature of such bleeding as well as the potentia...

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 115; no. 7; p. 883
Main Authors Connors, J P, Sandza, J G, Shaw, R C, Wolff, G A, Lombardo, J A
Format Journal Article
LanguageEnglish
Published United States 01.07.1980
Subjects
Aged
Blood Pressure
Catheterization - adverse effects
Coronary Artery Bypass
Coronary Disease - surgery
Female
Heart Valve Prosthesis
Hemorrhage - etiology
Hemorrhage - surgery
Humans
Lung Diseases - etiology
Lung Diseases - surgery
Male
Middle Aged
Mitral Valve Stenosis - surgery
Pneumonectomy
Pulmonary Artery
Tracheal Diseases - complications
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Summary:Massive lobar pulmonary hemorrhage related to Swan-Ganz catheterization represents a catastrophic complication that, to our knowledge, has received little attention in the literature. Our experience with two recent cases emphasizes the life-threatening nature of such bleeding as well as the potential for patient salvage after urgent resectional therapy. A spectrum of pulmonary vascular injuries is incurred after the insertion of a balloon-tipped catheter, and there are therapeutic approaches for each. The anticoagulation associated with cardiac surgical procedures prompts us to suggest that the technique of insertion and the use of the Swan-Ganz catheter in these patients be modified to avoid this complication.
ISSN:0004-0010
DOI:10.1001/archsurg.1980.01380070071016