Swan-Ganz catheter

Case contributed by A.Prof Frank Gaillard


In ICU post CAGS

Patient Data

Age: 70 years
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 of the lungs and pleural spaces are clear.

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.


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 chest x-rays whilst the patient recovers in ICU) demonstrates three different positions of Swan-Ganz catheter tips. 

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Case information

rID: 29361
Published: 19th May 2014
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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