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Korean J Anesthesiol. 2014 Nov;67(5):346-349. English. Case Report. https://doi.org/10.4097/kjae.2014.67.5.346
Sugiyama D , Ikeno S , Tsuchihashi T , Yokota S , Ina H , Kono T , Yamashita K , Kawamata M .
Department of Anesthesia, Japanese Red Cross Society of Suwa Hospital, Suwa, Japan. sugidai@shinshu-u.ac.jp
Department of Cardiovascular Surgery, Japanese Red Cross Society of Suwa Hospital, Suwa, Japan.
Department of Radiology, Japanese Red Cross Society of Suwa Hospital, Suwa, Japan.
Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto, Japan.
Abstract

Pulmonary artery (PA) rupture caused by a PA Swan-Ganz catheter is a rare complication but remains fatal in almost 50% of cases. False aneurysm of the PA is a rare presentation of PA rupture and should be considered as a possible diagnosis in a patient with a new lung mass after PA catheterization. We present a case of sudden-onset pulmonary alveolar hemorrhage during cardiovascular surgery due to a traumatic PA false aneurysm. The Swan-Ganz catheter might have been displaced by the thoracic aortic aneurysm with displacement of the catheter causing the false aneurysm and bleeding.

Copyright © 2019. Korean Association of Medical Journal Editors.