title: Extracorporeal membrane oxygenation for Swan-Ganz induced intraoperative hemorrhage.
abstract: 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.
authors.affiliation: Division of Cardiac Surgery, Ospedale S. Andrea, University of Rome La Sapienza, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Bianchini
authors.forename: Giovanni
authors.initials: G
authors.lastname: Melina
authors.forename: Umberto
authors.initials: U
authors.lastname: Benedetto
authors.forename: Michele
authors.initials: M
authors.lastname: Rossi
authors.forename: Brenno
authors.initials: B
authors.lastname: Fiorani
authors.forename: Manuela
authors.initials: M
authors.lastname: Iasenzaniro
authors.forename: Riccardo
authors.initials: R
authors.lastname: Sinatra
mesh_terms: 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*