Hemoptysis Associated with the-Use of a Flow-Directed Catheter

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The introduction of flow-directed, balloon-tipped pulmonary arterial catheters has made possible measurement of central venous pressure, pulmonary arterial pressure (PAP), and pulmonary-capillary wedge pressure (PCWP) before, during, and after anesthesia and surgery. Complications, including intracardiac knotting,1 inadvertent snaring2 in the right atrium, have been reported. Perforation of the pulmonary artery with3 and without4 hemoptysis has also been reported in patients with pulmonary arterial hypertension. The present case report records an instance of perforation of the pulmonary vasculature associated with the use of a flow-directed catheter in a patient without pulmonary hypertension.

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