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The Annals of Thoracic Surgery, Vol 51, 304-306, Copyright © 1991 by The Society of Thoracic Surgeons
CM Purut, SM Scott, JV Parham and PK Smith
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.
ARTICLES
Intraoperative management of severe endobronchial hemorrhage
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.
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