Extracorporeal membrane oxygenation for Swan-Ganz induced intraoperative hemorrhage.
We herein present the case of a 75-year-old woman undergoing double valve replacement who experienced a massive bronchial hemorrhage due to a Swan-Ganz catheter pulmonary artery perforation after weaning from cardiopulmonary bypass. Early institution of extracorporeal membrane oxygenation allowed treatment of severe hypoxemia, refractory to mechanical ventilation, and the discontinuation of hemoptysis. Once clinical stability was achieved, the patient underwent pulmonary artery angiography with successful pseudoaneurysm embolization. It is hoped that this information can provide further insight into the management of such a complication.
Bianchini
Roberto
R
Division of Cardiac Surgery, Ospedale S. Andrea, University of Rome La Sapienza, Rome, Italy.
Melina
Giovanni
G
Benedetto
Umberto
U
Rossi
Michele
M
Fiorani
Brenno
B
Iasenzaniro
Manuela
M
Sinatra
Riccardo
R
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D016063:Blood Loss, Surgical; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006469:Hemoptysis / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D012214:Rheumatic Heart Disease / Q000601:surgery*