Journal Information
Vol. 43. Issue 9.
Pages 589 (December 2019)
Vol. 43. Issue 9.
Pages 589 (December 2019)
Images in Intensive Medicine
DOI: 10.1016/j.medine.2019.02.009
Full text access
Massive hemoptisis as complication of cathetering right with Swan-Ganz catheter
Hemoptisis masiva como complicación de cateterismo derecho con catéter de Swan-Ganz
Visits
...
C. Amorós Verdú
Corresponding author
amoros.cris@gmail.com

Corresponding author.
, A. Baeza Román, F.J. Coves Orts
Servicio de Medicina Intensiva, Hospital General Universitario de Elche, Elche, Alicante, Spain
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

Ruptured pulmonary artery branches during right catheterization is a rare complication with mortality rates between 50% and 70%. This is the case of a 64-year-old woman with severe nonobstructive concentric hypertrophic cardiomyopathy. The patient is an ICD carrier and shows signs of dyspnea on minimal exertion and pulmonary hypertension on the echocardiography. She showed massive hemoptysis after balloon inflation of Swan-Ganz catheter during right side cardiac catheterization. After orotracheal intubation, the CT pulmonary angiogram (CTPA) performed reveals the presence of a pseudoaneurysm in the pulmonary artery branch at middle lobe level (Fig. 1A) and a locoregional alveolar hemorrhage (Fig. 1B). The arteriography confirms the presence of the pseudoaneurysm, and selective embolization is performed (Fig. 2). No extravasation is seen on the control CTPA performed 48h later. The patient progression was good.

Figure 1
(0.04MB).
Figure 2
(0.05MB).

Please cite this article as: Amorós Verdú C, Baeza Román A, Coves Orts FJ. Hemoptisis masiva como complicación de cateterismo derecho con catéter de Swan-Ganz. Med Intensiva. 2019;43:589.

Copyright © 2019. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.