Images in Intensive Medicine
Massive hemoptisis as complication of cathetering right with Swan-Ganz catheter
Hemoptisis masiva como complicación de cateterismo derecho con catéter de Swan-Ganz
C. Amorós Verdú
, A. Baeza Román, F.J. Coves Orts
Corresponding author
Servicio de Medicina Intensiva, Hospital General Universitario de Elche, Elche, Alicante, Spain
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A. Pre-stenotic axial image showing the esophageal dilatation and aortic dissection. B. Axial image of the compression region (white asterisk). C. Coronal imaging showing progressive esophageal tapering.Ao, aorta with image of aortic flap; LA, left atrium; LV, left ventricle; PA, pulmonary artery; RV, right ventricle. White arrow: pre- and post-stenotic esophageal dilatation. White asterisk: esophageal obstruction region.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Valiente Fernández, J.D. Czapka Mital, J.L. Pérez Vela" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Valiente Fernández" ] 1 => array:2 [ "nombre" => "J.D." "apellidos" => "Czapka Mital" ] 2 => array:2 [ "nombre" => "J.L." 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Amorós Verdú, A. Baeza Román, F.J. Coves Orts" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Amorós Verdú" "email" => array:1 [ 0 => "amoros.cris@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Baeza Román" ] 2 => array:2 [ "nombre" => "F.J." "apellidos" => "Coves Orts" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital General Universitario de Elche, Elche, Alicante, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemoptisis masiva como complicación de cateterismo derecho con catéter de Swan-Ganz" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 374 "Ancho" => 950 "Tamanyo" => 52335 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Ruptured pulmonary artery branches during right catheterization is a rare complication with mortality rates between 50% and 70%. This is the case of a 64-year-old woman with severe nonobstructive concentric hypertrophic cardiomyopathy. The patient is an ICD carrier and shows signs of dyspnea on minimal exertion and pulmonary hypertension on the echocardiography. She showed massive hemoptysis after balloon inflation of Swan-Ganz catheter during right side cardiac catheterization. After orotracheal intubation, the CT pulmonary angiogram (CTPA) performed reveals the presence of a pseudoaneurysm in the pulmonary artery branch at middle lobe level (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) and a locoregional alveolar hemorrhage (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The arteriography confirms the presence of the pseudoaneurysm, and selective embolization is performed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). No extravasation is seen on the control CTPA performed 48<span class="elsevierStyleHsp" style=""></span>h later. The patient progression was good.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Amorós Verdú C, Baeza Román A, Coves Orts FJ. Hemoptisis masiva como complicación de cateterismo derecho con catéter de Swan-Ganz. Med Intensiva. 2019;43:589.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 319 "Ancho" => 950 "Tamanyo" => 43930 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 374 "Ancho" => 950 "Tamanyo" => 52335 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000009/v1_201911280636/S2173572719302036/v1_201911280636/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000009/v1_201911280636/S2173572719302036/v1_201911280636/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302036?idApp=WMIE" ]
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