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Case Reports
. 2012 Sep;15(3):531-3.
doi: 10.1093/icvts/ivs287. Epub 2012 Jun 20.

Catheter-induced pulmonary artery rupture: haemodynamic compromise necessitates surgical repair

Karen Lynsey Booth  1 , Gavin Mercer-Smith, Chris McConkey, Haralabos Parissis
Affiliations
Case Reports

Catheter-induced pulmonary artery rupture: haemodynamic compromise necessitates surgical repair

Karen Lynsey Booth et al. Interact Cardiovasc Thorac Surg. 2012 Sep.

Abstract

Pulmonary artery haemorrhage is thankfully a very rare complication following pulmonary artery catheter insertion. It carries a significant mortality of 50%, and most cases are managed conservatively or with embolization therapy. We present an occult case, in which a patient presented with haemodynamic compromise without haemoptysis or significant haemothorax, who required surgical intervention. We discuss surgical treatment management options and the need for a high index of clinical suspicion to prevent mortality from this condition.

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Figures

Figure 1:
Figure 1:
Comparison of CXRs—initial postoperative film (A) and CXR post PA catheter insertion (B) and 30 min prior to emergency resternotomy (C).
See this image and copyright information in PMC

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