[Interventional occlusion of the aneurysm of the pulmonary artery: treatment of a rare complication when applying the Swan-Ganz catheter]

Pneumologie. 2004 Mar;58(3):155-8. doi: 10.1055/s-2004-818348.
[Article in German]

Abstract

Dissecting aneurysm of the pulmonary artery is a rare (1 : 3000) but life threatening complication of the use of Swan-Ganz catheters. The most typical clinical manifestation is hemoptysis, even a asymptomatic aneurysm causes pathognomonic X-ray findings. The eventually long free intervall between catheterisation and formation of the dissecting aneurysm requires thorough follow up of the concerning patients, e. g. chest roentgenograms and thorax CT-scans. The endovascular therapy of this lesion has replaced surgery due to a much better risk profile. The aim of the endovascular treatment is a coil-occlusion of the parent artery immediately proximal to the aneurysm. The success of this procedure will be instantaneously evident.

MeSH terms

  • Aged
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology*
  • Aortic Dissection / surgery
  • Catheterization, Swan-Ganz / adverse effects*
  • Female
  • Humans
  • Male
  • Pulmonary Artery*
  • Radiography
  • Treatment Outcome