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031 Journal of Nara Medical Association >
Vol.51 No.3 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/604
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| Title: | Swan-Ganzカテーテルによる肺動脈損傷の1例 |
| Other Titles: | A CASE OF PULMONARY ARTERY RUPTURE INDUCED BY SWAN-GANZ CATHETER |
| Authors: | 中谷, 秀隆
土肥, 直文
林, 照剛
藤田, 泰三
橋本, 俊雄
土肥, 和紘
酢谷, 俊夫
平井, 純 |
| Keywords: | hemoptysis
pulmonary artery rupture
Swan-Ganz catheter |
| Issue Date: | 30-Jun-2000 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.51 No.3 p.186-190 |
| Abstract: | An accidental rupture of the pulmonary artery is reported in a 72-year-old
woman. On November 8, 1997, she was admitted for acute myocardial infarction. Marked
ST segment elevation in Ⅰ, aVL, Ⅱ, aVF and V2 from V6 were evident by electrocardiogra-
phy. Cardiac catheterization showed a normal coronary artery with left ventricular failure.
During the procedure, the patient received an initial bolus injection of 10,000 IU of heparin.
A size 7 Fr Swan-Ganz catheter was inserted without difficulty. Mean pulmonary artery
wedge pressure was 14 mmHg. After catheterization, immediately after the balloon was
inflated for a PAWP measurement at the bedside, the patient developed a cough followed
by massive hemoptysis. The possibility of a pulmonary artery rupture was considered.
Protamine was injected through the distal port of the pulmonary artery catheter. After 2
hours, the patient had no further hemoptysis. Pulmonary artery rupture due to the use of
a Swan-Ganz catheter is rare, with an estimated 0.001 to 0.47% incidence rate. Because
such a rupture is fatal in almost 50% of cases, it is important to prevent such complications
during the use of Swan-Ganz catheters. |
| URI: | http://hdl.handle.net/10564/604 |
| ISSN: | 13450069 |
| Appears in Collections: | Vol.51 No.3
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