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Ann Thorac Surg 2007;83:2213-2214
© 2007 The Society of Thoracic Surgeons
a Division of Cardiac Surgery, Ospedale S. Andrea, University of Rome "La Sapienza," Rome, Italy
b Division of Radiology, Ospedale S. Andrea, University of Rome "La Sapienza," Rome, Italy
Accepted for publication January 15, 2007.
* Address correspondence to Dr Melina, Division of Cardiac Surgery, Ospedale S. Andrea, University of Rome "La Sapienza," Via di Grottarossa 1035, Rome, 00189, Italy (Email: g.melina{at}imperial.ac.uk).
We herein present the case of a 75-year-old woman undergoing double valve replacement who experienced a massive bronchial hemorrhage due to a Swan-Ganz catheter pulmonary artery perforation after weaning from cardiopulmonary bypass. Early institution of extracorporeal membrane oxygenation allowed treatment of severe hypoxemia, refractory to mechanical ventilation, and the discontinuation of hemoptysis. Once clinical stability was achieved, the patient underwent pulmonary artery angiography with successful pseudoaneurysm embolization. It is hoped that this information can provide further insight into the management of such a complication.
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