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Case Reports
. 1991 Feb;51(2):304-6; discussion 306-7.
doi: 10.1016/0003-4975(91)90808-4.

Intraoperative management of severe endobronchial hemorrhage

C M Purut  1 , S M Scott, J V Parham, P K Smith
Affiliations
Case Reports

Intraoperative management of severe endobronchial hemorrhage

C M Purut et al. Ann Thorac Surg. 1991 Feb.

Abstract

Endobronchial hemorrhage due to pulmonary artery perforation by a Swan-Ganz catheter developed during coronary artery bypass grafting while weaning from cardiopulmonary bypass. After reinstitution of cardio-pulmonary bypass with pulmonary artery venting, bleeding was localized to the right lower lobe bronchus using fiberoptic bronchoscopy. A Fogarty embolectomy catheter was inflated in the bronchus to tamponade successfully only the right lower lobe. This case illustrates a method of distal bronchial blockade for maximal retention of pulmonary function and avoidance of pulmonary resection.

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