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Canadian Journal of Anesthesia, Vol 32, 258-264, Copyright © 1985 by Canadian Anesthesiologists' Society

Clinical Reports: Pulmonary Artery Catheter Induced Pulmonary Artery Rupture in Patients Undergoing Cardiac Surgery

BETTY JEAN MULLER MD1 and ADAM GALLUCCI MD1

1 University of Michigan Medical Center, Department of Anesthesiology, Ann Arbor, Michigan

Address correspondence to: Dr. Betty Jean Muller, Department of Anesthesiology, Room A6061, Box 043, University of Michigan Medical Center, 1405 E. Ann Street, Ann Arbor, Michigan 48109.

Pulmonary artery rupture is a rare but rapidly fatal complication of pulmonary artery catheter insertion and use. Rapid diagnosis and appropriate treatment are essential to avoid mortality. Two cardiac surgical patients who suffered pulmonary artery rupture as a result of pulmonary artery catheter insertion and use are presented. These patients demonstrate two different presentations and the treatment of pulmonary artery rupture. A discussion of diagnosis, treatment, pathogenesis and prevention are presented.

Key Words: COMPLICATIONS: pulmonary artery rupture • PULMONARY ARTERY CATHETER: pulmonary artery rupture • SURGERY: cardiac






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Copyright © 1985 by the Canadian Anesthesiologists' Society.