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(Chest. 2001;120:2105-2111.)
© 2001 American College of Chest Physicians

Swan-Ganz Catheter-Induced Pulmonary Artery Pseudoaneurysm Formation*

Three Case Reports and a Review of the Literature

Maurice R. Poplausky, MD; Grigory Rozenblit, MD; John H. Rundback, MD; Gastone Crea, MD; Shekher Maddineni, MD and Robert Leonardo, MD

* From the Departments of Radiology and Surgery (Drs. Poplausky, Rozenblit, Rundback, Crea, and Maddineni) and Radiology (Dr. Leonardo), New York Medical College, Westchester Medical Center, Valhalla, NY.

Correspondence to: Maurice R. Poplausky, MD, Department of Radiology, Westchester Medical Center, Grasslands Reservation, Valhalla, NY 10595; e-mail: Poplauskym{at}wcmc.com

The use of Swan-Ganz catheters has increased tremendously since they were first introduced in 1970. Their ability to give vital hemodynamic measurements in critically ill patients makes their use invaluable when providing quality medical care. The formation of pulmonary artery (PA) pseudoaneurysm from a Swan-Ganz catheter-induced perforation of the PA is a rare but potentially fatal complication of Swan-Ganz catheter use. Three case presentations and a review of the literature are presented.

Key Words: complications • hemoptysis • pseudoaneurysm • pulmonary artery • pulmonary artery rupture • Swan-Ganz catheter • treatment




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