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The Annals of Thoracic Surgery, Vol 51, 304-306, Copyright © 1991 by The Society of Thoracic Surgeons


ARTICLES

Intraoperative management of severe endobronchial hemorrhage

CM Purut, SM Scott, JV Parham and PK Smith
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.

Endobronchial hemorrhage due to pulmonary artery perforation by a Swan- Ganz catheter developed during coronary artery bypass grafting while weaning from cardiopulmonary bypass. After reinstitution of cardio- pulmonary bypass with pulmonary artery venting, bleeding was localized to the right lower lobe bronchus using fiberoptic bronchoscopy. A Fogarty embolectomy catheter was inflated in the bronchus to tamponade successfully only the right lower lobe. This case illustrates a method of distal bronchial blockade for maximal retention of pulmonary function and avoidance of pulmonary resection.


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