【Swan-Ganz导管致医源性肺动脉假性动脉瘤1例】。

Yuki Inada, Mitsuru Matsuki, Hiroyuki Kani, Isamu Narabayashi, Yoshihisa Fujita
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引用次数: 0

摘要

我们报告一例由Swan-Ganz (SG)导管诱导的医源性右肺动脉假性动脉瘤。食道手术前将SG导管插入肺动脉。术后胸片显示右下肺野有一结节。基于对SG导管置入后的一系列胸片的回顾性回顾,我们怀疑是由导管尖端过度插入引起的医源性肺动脉假性动脉瘤。CT增强显示右侧A4b呈偏心性明显强化结节影。我们诊断为肺动脉假性动脉瘤。结节影在2个月后自行消退。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A case of iatrogenic pseudoaneurysm of the pulmonary artery induced by a Swan-Ganz catheter].

We report a case of iatrogenic pseudoaneurysm of the right pulmonary artery induced by a Swan-Ganz (SG) catheter. An SG catheter was inserted to the pulmonary artery before the esophageal surgery. Chest radiograph after the surgery showed a nodule in the right lower lung field. Based on the retrospective review of serial chest radiographies after SG catheter placement, we suspected iatrogenic pseudoaneurysm of the pulmonary artery caused by over-insertion of the catheter tip. Contrast-enhanced CT showed the nodular shadow with eccentric and marked enhancement continuing right A4b. We diagnosed a pseudoaneurysm of the pulmonary artery. The nodular shadow resolved spontaneously over a 2-month period.

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