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Ann Thorac Surg 2009;88:284-287. doi:10.1016/j.athoracsur.2008.12.038
© 2009 The Society of Thoracic Surgeons
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Case Reports

Managing Pulmonary Artery Catheter-Induced Pulmonary Hemorrhage by Bronchial Occlusion

René Schramm, MD, PhD*, Ahmad Abugameh, MD, Dietmar Tscholl, MD, Hans-Joachim Schäfers, MD

Department of Thoracic and Cardiovascular Surgery, University Hospital Homburg/Saar, Homburg/Saar, Germany

Accepted for publication December 1, 2008.

* Address correspondence to Dr Schramm, Department of Thoracic and Cardiovascular Surgery, University Hospital Homburg/Saar, Kirrbergerstrasse, Homburg/Saar, D-66421, Germany (Email: reneschramm{at}live.de).

A 76-year-old woman underwent mitral valve repair and coronary artery bypass grafting. Intrabronchial bleeding occurred after inflation of the balloon tip of the pulmonary artery catheter in the wedge position. A Forgaty catheter was introduced into the trachea parallel to the endotracheal tube and advanced under bronchoscopic vision into the intermediate bronchus. Tamponade of the bleeding was achieved by by filling the Forgaty balloon tip with saline. Weaning from extracorporeal circulation was uneventful. On the first postoperative day, the Forgaty catheter was removed and bronchial lavage of the middle and lower lobe was performed without any additional bleeding complication.






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