[Valve lesions of the right heart associated with use of indwelling pulmonary artery catheters (author's transl)].
Pulmonary artery chatheterisation by means of flow-directed balloon-tipped catheters has proved a valuable aid in assessing haemodynamic parameters of critically ill patients. Serious complications are reported to be uncommon. On postmortem examination of 8 patients, in whom flow-directed balloon-tipped catheters were employed, and whose catheters were dissected in situ, there were 5 instances of non-bacterial thrombotic endocarditis (NBTE) and 4 of focal valvular bleeding. This is a much more frequent incidence of valvular lesions than has been reported previously. The pathogensis of NBTE is briefly disicussed, and attention is drawn to potential long-term complications. We suppose that valvular diseases of the right side of the heart will gain in significance due to the increasing use of flow-directed balloon-tipped pulmonary artery catheters.
D000293:Adolescent; D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D011655:Pulmonary Embolism / Q000473:pathology; D011664:Pulmonary Valve / Q000293:injuries* / Q000473:pathology
Klappenschäden des rechten Herzens nach Anwendung von Pulmonalarterienverweilkathetern.