Swan Ganz catheter misplacement with pulmonary artery rupture
Diagnosis certain
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.
Updates to Case Attributes
Status
changed from draft to pending review.
Presentation
was changed:
Patient with congestive heart failure, hypertension and cardiovascular bypass presents to the hospital with acute dyspnea.
Further evaluation reveals a requirement for a Swan Ganz catheter and a diagnosis of pulmonary hypertension is made.
Patient presents 250 ml of hemoptysis 20 minutes after the Rx is made, chest X-ray is solicited.
References changed:
Updates to Study Attributes
Modality
changed from X-ray to CT.
Findings
was changed:
Findings:-Distal end of the Swan Ganz catheter in the middle lobe, medial segment, perforating the middle lobe artery at the biffurcation to the middle lobe.
-Diffuse alveolar pattern in the right basal and middle lobes with active contrast extravasation, compatible with hemorrhage.
-Blunting of the left costophrenic angle-Bilateral pleural effusion.
-Peacemaker and sternumsternal post-surgery changes.
Updates to Study Attributes
Findings
was added:
-Distal end of the Swan Ganz catheter in the middle lobe.
-Diffuse alveolar pattern in the right basal and middle lobes.
-Blunting of the left costophrenic angle.
-Peacemaker and sternal post-surgery changes.
Modality
changed from to X-ray.
Images Changes:
Image X-ray (Frontal) ( update )
Perspective
changed from Frontal to Frontal.
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