Iatrogenic Injuries of the Pulmonary Artery

Czech version

Authors: P. Hromádka; S. Černohorský ¹; J. Škach; I. Zýková ²
Authors‘ workplace: Chirurgické oddělení, Krajská nemocnice Liberec, prim. MUDr. M. Baader ; Chirurgické oddělení, Nemocnice na Homolce, prim. MUDr. M. Toběrný ¹; Anestesiologicko-resuscitační oddělení, Krajská nemocnice Liberec, prim. MUDr. D. Morman ²
Published in: Rozhl. Chir., 2010, roč. 89, č. 4, s. 234-236.
Category: Monothematic special - Original

Overview

The injury of major thoracic vessels always presents life threatening condition. In our case report we present iatrogenous pulmonary artery lesion caused by Swan-ganz catheter during invasive intraluminal pulmonary pressure measurement as a part of examination for cardiosurgical mitral valve replacement. There are no files describing successfully treated patients with vast pulmonary artery trunk injury rather than particular case reports. Although severe iatrogenous injury is being discussed, the outcome for the patient is thank to early surgical treatment (the application of recombinant coagulation factor VII – Novoseven, blood recuperation, therapeutic hypothermia) and professional postoperative care maximally beneficial. In the discussion and conclusion authors summarize therapeutical procedures that led to saving a patient’s life.

Key words:
pulmonary artery injury – cathetrisation – hemothorax – lobectomy – hypothermia – Novoseven

Sources

1. Černý, J. Špeciálna chirurgia 3 – chirurgia hrudníka. Osveta, Martin, 1993, str. 355.

2. Dauphine, C., Omari, B. Pulmonary embolectomy for acute massive pulmonary emboliím. Ann. Thorac. Surgery, 2005, 79, 1240–1244.

3. Zuščich, O., Fluger, I., Hájek, R. Intervenční a akutní kardiologie 2008, 7, (1) 31–31.

4. Boffard, K. D., et al. NovoSeven Trauma Study Group, Recombinant factor VIIa as adjunctive therapy bleeding kontrol in severely injured trauma patiens. J. Trauma, 2005, 59, 8–18.

5. Konsenzuální stanovisko k použití terapeutické hypotermie, ČASRIM, 2009