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Pulmonary artery rupture during right heart catheterization: successful endovascular treatment with Amplatzer Vascular Plug.

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An 84-year-old man with post-ischaemic dilated cardiomyopathy and moderate-to-severe functional mitral regurgitation complicated by pulmonary hypertension underwent right heart catheterization at our centre. During pulmonary capillary wedge pressure measurements with… Click to show full abstract

An 84-year-old man with post-ischaemic dilated cardiomyopathy and moderate-to-severe functional mitral regurgitation complicated by pulmonary hypertension underwent right heart catheterization at our centre. During pulmonary capillary wedge pressure measurements with 7 Fr Swan-Ganz catheter (Edwards Lifesciences, Irvine, CA, USA), the patient developed massive haemoptysis and haemorrhagic shock, requiring endotracheal intubation and cardiopulmonary resuscitation. Selective contrast injection in the right pulmonary artery revealed a ruptured subsegmental branch actively bleeding into the airways (Panel A, Supplementary material online, Video S1).

Keywords: pulmonary artery; heart catheterization; heart; right heart

Journal Title: European heart journal
Year Published: 2018

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