title: Management of catheter-induced pulmonary artery perforation during weaning from cardiopulmonary bypass--a case report.
abstract: We report a case of pulmonary artery perforation induced by Swan-Ganz catheter. Brisk massive airway hemorrhage occurred after withdrawl of the Swan-Ganz catheter post cardiopulmonary bypass. Early recognition, immediate re-establishment of cardiopulmonary bypass, lobectomy of the sanguineous lobe subsequent to rupture of the involved pulmonary artery, and thorough bronchial toilet were the major determinants contributing to successfully rescuing the patient's life. She was discharged uneventfully in spite of high mortality rate of the catheter-induced pulmonary artery perforation.
authors.affiliation: Department of Anesthesiology, Cardinal Tien Hospital, Taipei County, Taiwan, ROC.
authors.forename: Yuan-Chun
authors.initials: YC
authors.lastname: Lan
authors.forename: Chi-Tsung
authors.initials: CT
authors.lastname: Chien
authors.forename: Wei-Shih
authors.initials: WS
authors.lastname: Lee
authors.forename: Shih-Rong
authors.initials: SR
authors.lastname: Hsieh
authors.forename: Sen-Ei
authors.initials: SE
authors.lastname: Hsieh
authors.forename: Wai-Meng
authors.initials: WM
authors.lastname: Ho
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000293:injuries*; D012421:Rupture