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01121 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

Title: Swan-Ganzカテーテルによる肺動脈損傷の1例
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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