Original ArticlesRecognition and management of catheter-induced pulmonary artery rupture
Section snippets
Material and methods
We report 7 cases of PA rupture encountered over 2 years (June 1995 to June 1997), to illustrate options in management. Three of these cases were among 1,500 operations using cardiopulmonary bypass (CPB). One of these patents survived after extracorporeal life support (ECLS). All incidents occurred in a tertiary referral teaching hospital where approximately 750 open heart operations are performed each year, and which has a separate 14-bed general intensive care unit. A heparin-coated
Comment
Pulmonary artery rupture from catheter injury during invasive monitoring is an uncommon but often lethal complication. Comprehensive reviews of the literature have been done 4, 5, 6, 14. The reported incidence is between 0.2% and 1.0% 2, 6, 14 with a mortality of 50% 4, 6, 8. Hence it is essential to maintain a high level of suspicion and to have a clear plan of management. Such plans have been formulated previously, covering endobronchial bleeding occurring during preoperative insertion 2, 5, 6
References (23)
- et al.
Catheter-induced pulmonary arterial traumacan it always be averted?
J Thorac Cardiovasc Surg
(1983) - et al.
Catheter-induced pulmonary artery perforation
J Thorac Cardiovasc Surg
(1981) - et al.
Catheter-induced pulmonary artery rupture in the setting of cardiopulmonary bypass
Ann Thorac Surg
(1993) - et al.
Massive hemoptysis after coronary artery bypass grafting
Chest
(1996) - et al.
Catheter-induced pulmonary artery hemorrhage
J Thorac Cardiovasc Surg
(1981) - et al.
Intraoperative management of severe endobronchial hemorrhage
Ann Thorac Surg
(1991) - et al.
Management of endobronchial hemorrhage [Letter]
Ann Thorac Surg
(1991) - et al.
Repair of catheter-induced perforation of the pulmonary artery [Letter]
Ann Thorac Surg
(1991) - et al.
Temporary unilateral pulmonary artery occlusiona method for controlling Swan-Ganz catheter-induced hemoptysis
Ann Thorac Surg
(1984) Invited commentary on intraoperative management of severe endobronchial hemorrhage
Ann Thorac Surg
(1991)
Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter
N Engl J Med
Cited by (37)
Spontaneous Hemorrhage of the Distal Segment of the Left Pulmonary Artery After Cardiopulmonary Bypass
2023, Journal of Cardiothoracic and Vascular AnesthesiaComparison of Right Ventricular Function Between Three-Dimensional Transesophageal Echocardiography and Pulmonary Artery Catheter
2021, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :PACs are used widely in cardiac surgery and other critical scenarios requiring careful hemodynamic management.6 However, the procedure is invasive, and associated complications are sometimes fatal; hence, the insertion of a PAC should be limited to patients in whom parameters only can be measured via PAC.8-11,31-34 By contrast, TEE is considered safer than PACs due to the low probability of significant complications occurring.35
Massive hemoptysis as an unusual complication of right heart catheterization: Successful treatment with percutaneous stent
2016, Revista Portuguesa de CardiologiaAortic valve replacement complicated by bronchial artery hemorrhage
2015, Journal of Cardiothoracic and Vascular Anesthesia