The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

Swan-Ganz Catheter-Induced Pulmonary Artery Rupture and Atelectasis Caused by a Bronchial Thrombus

폐동맥 카테터에 의한 폐동맥 파열 및 기관지 혈전에 의한 무기폐

  • Lee, Min-Kyu (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Lee, Gun-Hwa (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Seok-Hwan (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Jin-Kyu (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Jeong-Hun (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Lim, Young-Hyo (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Jin-Ho (Department of Internal Medicine, Hanyang University College of Medicine)
  • 이민규 (한양대학교 의과대학 내과학교실) ;
  • 이건화 (한양대학교 의과대학 내과학교실) ;
  • 김석환 (한양대학교 의과대학 내과학교실) ;
  • 박진규 (한양대학교 의과대학 내과학교실) ;
  • 신정훈 (한양대학교 의과대학 내과학교실) ;
  • 임영효 (한양대학교 의과대학 내과학교실) ;
  • 신진호 (한양대학교 의과대학 내과학교실)
  • Published : 2011.12.01
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Abstract

The use of pulmonary artery catheters has increased considerably since the Swan-Ganz catheter was first introduced in 1970. It is extremely helpful in the management of critically ill patients and in pulmonary hypertension. However, its manipulation carries potential risks, including subclavian or carotid artery laceration, pneumothorax, thoracic duct laceration, phrenic nerve injury, air embolism, arrhythmias, infection, valvular damage, thrombosis, pulmonary infarction, and pulmonary artery rupture. Pulmonary artery rupture, albeit rare, remains a severe complication. Here, we present a patient who developed pulmonary artery rupture and total atelectasis of the left lung after placement of a pulmonary artery catheter.

폐동맥 카테터에 의한 폐출혈 및 완전 무기폐는 매우 드물게 발생하지만 치명적일 수 있는 합병증이다. 저자들은 폐동맥 고혈압 환자에서 폐동맥 카테터를 이용한 우심장 심도 자술을 시행하던 중 발생한 폐동맥 파열과 이로 인한 폐출혈, 좌측 완전 무기폐를 경험하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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