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Swan‐Ganz‐induced pulmonary artery rupture: Management with stent graft implantation
Author(s) -
Zuffi Andrea,
BiondiZoccai Giuseppe,
Colombo Federico
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22564
Subject(s) - medicine , pulmonary artery , perforation , stent , cardiac catheterization , surgery , embolization , complication , radiology , cardiology , materials science , punching , metallurgy
Pulmonary artery catheterization is a useful tool for the diagnosis and management of lung or cardiac disease. This procedure is considered safe and associated with a low incidence of major complications. However, pulmonary artery rupture during right heart catheterization, albeit rare, remains a severe complication. Despite modern management with metal‐coil embolization, selective intubation and deployment of bronchial blocker, the mortality rate may be as high as 50%. In this case, we report a new approach to deal with a Swan‐Ganz‐induced pulmonary artery rupture based on stent graft implantation leading to successful sealing of the pulmonary perforation with final patency and normal antegrade blood flow in the pulmonary branch. © 2010 Wiley‐Liss, Inc.