Reminder of important clinical lesson
Pulmonary artery catheter induced pulmonary haemorrhage
1 Blackpool Victoria Hospital, Apartment 4, Tideswell House, 2 Tideswell Court, Sheffield, S5 6JH, UK
2 Blackpool Victoria Hospital, Cardiac Centre, Blackpool Victoria Hospital, Blackpool, FY3 8NR, UK
Correspondence to:
M Louai Shammaa, dr_louai{at}hotmail.com
Since its introduction three decades ago, the pulmonary artery (PA) catheter has brought insights into pathophysiology of many diseases enabling intensivists to treat critical conditions much more precisely and securely. PA indications are widening, and those working in an intensive care environment feel more secure in handling critical conditions with objective data. However, PA-induced pulmonary haemorrhage is a well-recognised, uncommon, yet potentially lethal, complication of PA catheter. We report a case with PA haemorrhage induced by placement of the PA catheter during coronary artery bypass surgery. A contrast-enhanced CT scan of the chest confirmed spontaneous remission of the haemorrhage after 7 weeks of the injury without the need for any intervention.
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