Pulmonary-Valve Injury and Insufficiency during Pulmonary-Artery Catheterization

22 November 1979

journal article
case report
Published by Massachusetts Medical Society in New England Journal of Medicine

Vol. 301 (21) , 1167-1168
https://doi.org/10.1056/nejm197911223012107

Abstract

SINCE the flow-directed, balloon-tipped catheter was introduced in 1970¹ it has been widely used to monitor pulmonary-capillary wedge pressure. Complications associated with its use include transient arrhythmia,¹ intravascular knotting,² balloon rupture,³ infection of the cutdown site,³ persistent arrhythmia,⁴ ^, ⁵ pulmonary embolism or infarction,⁶ ⁷ ⁸ rupture or perforation of the pulmonary artery,⁹ ¹⁰ ¹¹ ¹² ¹³ and both septic¹⁴ ¹⁵ ¹⁶ and aseptic¹⁷ ¹⁸ ¹⁹ endocardial vegetation. This catheter has also produced a systolic non-ejection click.²⁰ We report two cases of pulmonary-valve damage and resultant insufficiency occurring with catheterization.Case ReportsCase 1An 18-year-old primapara vomited during delivery and aspirated massive amounts of vomitus; the respiratory-distress syndrome developed. An indwelling . . .

Keywords

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