Abstract
Pulmonary artery laceration is estimated to occur in 0.03% to 0.125% of all pulmonary artery catherizations. Most of the tears of the pulmonary artery (PA) occur on the right side in the lower or middle lobe branches (93% of cases). Early mortality ranges from 41% to 70%. The tear is usually associated with an acute episode of massive hemoptysis or intrapleural hemorrhage. Late deaths have been reported from false aneurysms. These false aneurysms of the pulmonary artery are clinically silent in 50% of cases; however 90% are visible on a plain CXR.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Selected References
Boyd KD, Thomas SJ, Gold J, et al. A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients. Chest 1983;84:245–49.
Dieden JD, Friloux LA, Renner JW. Pulmonary artery false aneurysms secondary to Swan-Ganz pulmonary artery catheters. AJR. 1987;149:901–906
Fleisher AG, Tyers FO, Manning GT, et al. Management of massive hemoptysis secondary to catheter — induced perforation of the pulmonary artery during cardiopulmonary bypass. Chest. 1989;95:1340–41.
Karak P, Dimick R, Hamrick K, et al. Immediate transcatheter embolization of Swan-Ganz catheter — induced pulmonary artery pseudoaneurysm. Chest 1997;111:1450–52.
Kearney TJ, Shabot MM. Pulmonary artery rupture associated with the Swan-Ganz catheter. Chest 1995;108:1349–52.
Mangar D, Connell R, Lessin JL, et al. Catheter - induced pulmonary artery haemorhage resulting from a pneumothorax. Can J Anaesth. 1993;40:1069–72.
Mullerworth MH, Angelopoulos P, Couyant MA, et al. Recognition and management of catheter-induced pulmonary artery rupture. Ann Thorac Surg 1998;66:1242–5.
Stone JG, Faltas AN, Khambatta HJ, et al. Temporary unilateral pulmonary artery occlusion: a method for controlling Swan-Ganz catheter — induced hemoptysis. Ann Thorac Surg. 1984;37:508–10.
Urschel JD, Myerowitz D. Catheter — induced pulmonary artery rupture in the setting of cardiopulmonary bypass. Ann Thorac Surg. 1993;56:585–9.
Urshel JD, Parrott JCW. Repair of catheter - induced perforation of the pulmonary artery. Ann Thorac Surg. 1991;51:1046.
Yellin LB, Filler JJ, Barnette RE. Nominal hemoptysis heralds pseudoaneurysm induced by a pulmonary artery catheter. Anesthesiology. 1991;74:370–73.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer Science+Business Media New York
About this chapter
Cite this chapter
McNamee, C.J., Achen, B., Black, T. (2002). PA Catheter Induced Hemoptysis. In: Karmy-Jones, R., Nathens, A., Stern, E.J. (eds) Thoracic Trauma and Critical Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1127-4_26
Download citation
DOI: https://doi.org/10.1007/978-1-4615-1127-4_26
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5407-9
Online ISBN: 978-1-4615-1127-4
eBook Packages: Springer Book Archive