Swan-Ganz catheter

Case contributed by A.Prof Frank Gaillard

Presentation

In ICU post CAGS.

Patient Data

Age: 70
Gender: Female

The patient is intubated, has a right internal jugular Swan-Ganz catheter overlying the pulmonary trunk as well as mediastinal drains.

Minor patchy opacity is present in the left lung base. The remainder the lungs and pleural spaces are clear.

Need to be Swan-Ganz catheter now lies in the left pulmonary artery.

Moderate bilateral effusions have developed, slightly larger on the right

Volume loss in the left lower lobe persists.

Modality: X-ray

The Swan-Ganz catheter has been pulled back into the SVC. The mediastinal drain has been removed.

Bibasal collapse/consolidation has worsened, greater on the right. Moderate bilateral pleural effusions persist.

Case Discussion

This case (three consecutive CXR while the patient recovers in ICU) demonstrates three different positions of Swan-Ganz catheter tip position. 

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Case Information

rID: 29361
Case created: 19th May 2014
Last edited: 28th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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