CARDIOVASCULAR ENGINEERING Journal for Extracorporeal Circulation, Assist Devices,Transplantation and Artificial Organs
	Volume 8, 2003, No 1-2

Extracorporal Membrane Oxygenation Following Pulmonary Artery Rupture from Swan-Ganz Catheter Insertion
A. M. Fabricius, N. Doll, J. Onnasch, F. W. Mohr

The case presented is that of a woman, who was undergoing aortic valve replacement with subsequent pulmonary artery rupture due to pulmonary artery catheter replacement. Massive hemorrhage through the endotracheal tube began while weaning from extracorporal bypass. Immediate bronchoscopy revealed a hemorrhage deriving from the middle lobar branch. The lobe was resected and failure to wean the patient off cardiopulmonary bypass secondary to lung failure and poor left ventricular performance necessitated implantation of an extracorporal membrane oxygenation. After weaning off extracorporal membrane oxygenation the patient had a long recovery on the intensive care unit.

Key words: Swan-Ganz catheter, aortic valve, ECMO, perfusion

Alex M. Fabricius, M.D.
Abteilung für Herzchirurgie
Herzzentrum Leipzig
Russenstr. 19
D-04289 Leipzig
Germany
E-mail: faba@medizin.uni-leipzig.de

PABST SCIENCE PUBLISHERS
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