폐동맥 카테터에 의한 폐동맥 파열 및 기관지 혈전에 의한 무기폐

Abstract

폐동맥 카테터에 의한 폐출혈 및 완전 무기폐는 매우 드물게 발생하지만 치명적일 수 있는 합병증이다. 저자들은 폐동맥 고혈압 환자에서 폐동맥 카테터를 이용한 우심장 심도자술을 시행하던 중 발생한 폐동맥 파열과 이로 인한 폐출혈, 좌측 완전 무기폐를 경험하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

The use of pulmonary artery catheters has increased considerably since the Swan-Ganz catheter was first introduced in 1970. It is extremely helpful in the management of critically ill patients and in pulmonary hypertension. However, its manipulation carries potential risks, including subclavian or carotid artery laceration, pneumothorax, thoracic duct laceration, phrenic nerve injury, air embolism, arrhythmias, infection, valvular damage, thrombosis, pulmonary infarction, and pulmonary artery rupture. Pulmonary artery rupture, albeit rare, remains a severe complication. Here, we present a patient who developed pulmonary artery rupture and total atelectasis of the left lung after placement of a pulmonary artery catheter. (Korean J Med 2011;81:769-774)