title: [Two cases of acute massive pulmonary embolism diagnosed by pulmonary angiography with Swan-Ganz catheter].
abstract: We report two cases of acute massive pulmonary embolism diagnosed at the bedside by pulmonary angiography with Swan-Ganz catheter. In both cases the patients (women 48 and 49 years old) went into shock after surgery. Pulmonary angiography with Swan-Ganz catheter was done at the bedside to confirm the diagnosis. In both cases this revealed filling defects. Hemodynamics improved after-thrombolytic therapy. In general, pulmonary embolism can be definitively diagnosed by lung perfusion scan or pulmonary angiography. Pulmonary angiography with a Swan-Ganz catheter is useful in hospitals without complicated instruments, but is indicated only for unmovable and unstable patients with hemodynamic problems.
authors.affiliation: Nagai General Hospital, Mie, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Tanaka
authors.forename: N
authors.initials: N
authors.lastname: Hiraoka
authors.forename: M
authors.initials: M
authors.lastname: Baba
authors.forename: M
authors.initials: M
authors.lastname: Kawanishi
authors.forename: H
authors.initials: H
authors.lastname: Fujioka
authors.forename: T
authors.initials: T
authors.lastname: Konishi
authors.forename: T
authors.initials: T
authors.lastname: Nakano
mesh_terms: D000208:Acute Disease; D000792:Angiography / Q000379:methods*; D002407:Catheterization, Swan-Ganz; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging*