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Roberto Bianchini
Giovanni Melina
Umberto Benedetto
Michele Rossi
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Riccardo Sinatra
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Right arrow Extracorporeal circulation

Ann Thorac Surg 2007;83:2213-2214
© 2007 The Society of Thoracic Surgeons

Case Reports

Extracorporeal Membrane Oxygenation for Swan-Ganz Induced Intraoperative Hemorrhage

Roberto Bianchini, MDa, Giovanni Melina, MD, PhDa,*, Umberto Benedetto, MDa, Michele Rossi, MDb, Brenno Fiorani, MD, PhDa, Manuela Iasenzaniro, MDa, Riccardo Sinatra, MDa

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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