title: Swan-Ganz-induced pulmonary artery rupture: management with stent graft implantation.
abstract: Pulmonary artery catheterization is a useful tool for the diagnosis and management of lung or cardiac disease. This procedure is considered safe and associated with a low incidence of major complications. However, pulmonary artery rupture during right heart catheterization, albeit rare, remains a severe complication. Despite modern management with metal-coil embolization, selective intubation and deployment of bronchial blocker, the mortality rate may be as high as 50%. In this case, we report a new approach to deal with a Swan-Ganz-induced pulmonary artery rupture based on stent graft implantation leading to successful sealing of the pulmonary perforation with final patency and normal antegrade blood flow in the pulmonary branch.
authors.affiliation: GVM Care and Research, Interventional Cardio-Angiology Unit, Cotignola, Italy. zuffiandrea@hotmail.com
authors.forename: Andrea
authors.initials: A
authors.lastname: Zuffi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Biondi-Zoccai
authors.forename: Federico
authors.initials: F
authors.lastname: Colombo
mesh_terms: D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D006439:Hemodynamics; D006469:Hemoptysis / Q000209:etiology / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D011859:Radiography; D012421:Rupture; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency