Selective embolization of a pulmonary artery rupture caused by a Cournand catheter
Corresponding Author
Christoph A. Kaiser MD
Department of Cardiology, University Hospital, Basel, Switzerland
Department of Cardiology, University Hospital, CH-4031 Basel/SwitzerlandSearch for more papers by this authorRolf W. Hügli MD
Department of Radiology, University Hospital, Basel, Switzerland
Search for more papers by this authorLaurent M. Haegeli MD
Department of Cardiology, University Hospital, Basel, Switzerland
Search for more papers by this authorMatthias E. Pfisterer MD
Department of Cardiology, University Hospital, Basel, Switzerland
Search for more papers by this authorCorresponding Author
Christoph A. Kaiser MD
Department of Cardiology, University Hospital, Basel, Switzerland
Department of Cardiology, University Hospital, CH-4031 Basel/SwitzerlandSearch for more papers by this authorRolf W. Hügli MD
Department of Radiology, University Hospital, Basel, Switzerland
Search for more papers by this authorLaurent M. Haegeli MD
Department of Cardiology, University Hospital, Basel, Switzerland
Search for more papers by this authorMatthias E. Pfisterer MD
Department of Cardiology, University Hospital, Basel, Switzerland
Search for more papers by this authorAbstract
Pulmonary artery rupture is a rare but often fatal complication of right heart catheterization. We present a case of a ruptured pulmonary artery caused by a Cournand catheter in a high-risk patient with pulmonary hypertension on oral anticoagulation with successful emergency embolization with gelatine foam. Catheter Cardiovasc Interv 2004;61:317–319. © 2004 Wiley-Liss, Inc.
REFERENCES
- 1 Mullerworth MH, Angelopoulos P, Couyant MA, Horton AM, Robinson SM, Petring OU, Mitchell PJ, Presneill JJ. Recognition and management of catheter-induced pulmonary artery rupture. Ann Thorac Surg 1988; 66: 1242–1245.
- 2 Kearney TJ, Shabot MD. Pulmonary artery rupture associated with the Swan-Ganz catheter. Chest 1995; 108: 1349–1352.
- 3 McDanial DD, Stone JG, Faltas AN, Khambatta HJ, Thys DM, Antunes AM, Bregman D. Catheter-induced PA hemorrhage. J Thorac Cardiovasc Surg 1981; 82: 1–4.
- 4 Urschel JD, Myerowitz PD. Catheter-induced pulmonary artery rupture in the setting of cardiopulmonary bypass. Ann Thorac Surg 1993; 56: 585–589.
- 5 Kelly TF, Morris GC, Crawford ES, Espada R, Howell JF. Perforation of the pulmonary artery with Swan-Ganz catheters: diagnosis and surgical management. Ann Surg 1981; 193: 686–692.
- 6 Barash PG, Nardi D, Hammond G. Catheter-induced pulmonary artery perforation: mechanisms, management and modifications. J Thorac Cardiovasc Surg 1981; 82: 5–12.
- 7 Liu C, Webb CC. Pulmonary artery rupture: serious complication associated with pulmonary artery catheters. Int J Trauma Nurs 2000; 6: 19–26.
- 8
Cournand AF,
Lauson HD,
Bloomfield RA,
Breed ES,
Baldwin E.
Recording of right heart pressures in man.
Proc Soc Exp Biol Med
1944;
55:
34–36.
10.3181/00379727-55-14446P Google Scholar
- 9 Stein JM, Lisbon A. Pulmonary hemorrhage from pulmonary artery catherization treated with endobronchial intubation. Anesthesiology 1981; 55: 689–699.
- 10 Thomas R, Sirpoudhis L, Laurent JF, Bouget J, Bousser J, Camus C, Michelet C. Massive hemoptysis from iatrogenic balloon catheter rupture of pulmonary artery: successful early management by balloon tamponade. Crit Care Med 1987; 15: 272–273.
- 11 Davies SD, Neithamer CD, Schreiber TS, Sos TA. False Pulmonary artery aneurysm induced by Swan-Ganz catheter: diagnosis and embolotherapy. Radiology 1987; 164: 741–742.
- 12 Dieden JD, Friloux LA III, Renner JW. Pulmonary false aneurysms secondary to Swan-Ganz pulmonary artery catheters. Am J Roentgenol 1987; 149: 901–906.
- 13 Kirton OK, Albert JV, Henry RP, Civetta JM. Flow-directed, pulmonary artery catheter-induced pseudoaneurysms: urgent diagnosis and endovascular obliteration. Crit Care Med 1992; 20: 1178–1180.
- 14 Labrunie E, Levy C, Paugam C, Augereau B, Tubiana JM. Pseudoanéurysme artériel pulmonaire post-cathéter de Swan-Ganz traité par embolisation. Ann Radiol (Paris) 1993; 36: 310–314.
- 15 Ray CE, Kaufmann JA, Geller SC, Rivitz SM, Kanarek DJ, Waltmann AC. Embolization of pulmonary artery psesudoaneurysms. Chest 1196; 110: 1370–1373.
- 16 Ferretti GR, Thony F, Link KM, Durand M, Wollschlager K, Blin D, Coulomb M. False aneurysm of the pulmonary artery induced by a Swan-Ganz catheter: clinical presentation and radiologic management. Am J Roentgenol 1997; 169: 598.
- 17 Gottwalles Y, Wunschel-Joseph ME, Hanssen M. Coil embolization treatment in pulmonary artery branch rupture during Swan-Ganz catheterization. Cardiovasc Interv Radiol 2000; 23: 477–479.
- 18 Jondeau G, Lacombe P, Rocha P, Rigaud M, Hardy A, Bourdarias JP. Swan-Ganz catheter-induced rupture of the pulmonary artery: successful early management by transcatheter embolization. Cathet Cardiovasc Diagn 1990; 19: 202–204.
