Intraoperative management of severe endobronchial hemorrhage.
case_report · Level V
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- Record sourced from PubMed, PMID 1989551.
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Abstract
Endobronchial hemorrhage due to pulmonary artery perforation by a Swan-Ganz catheter developed during coronary artery bypass grafting while weaning from cardiopulmonary bypass. After reinstitution of cardio-pulmonary bypass with pulmonary artery venting, bleeding was localized to the right lower lobe bronchus using fiberoptic bronchoscopy. A Fogarty embolectomy catheter was inflated in the bronchus to tamponade successfully only the right lower lobe. This case illustrates a method of distal bronchial blockade for maximal retention of pulmonary function and avoidance of pulmonary resection.
Medical subject headings
- Blood Loss, Surgical
- Bronchial Diseases
- Catheterization, Swan-Ganz
- Coronary Artery Bypass
- Intraoperative Complications
- Pulmonary Artery