Résumé
La rupture de ľartère pulmonaire est une des complications les plus sérieuses de la cathétérisation de ľartère pulmonaire. On rapporte un cas de rupture de ľartère pulmonaire suite à la mise en place ďun cathéter de Swctn-Ganz chez un patient présemant une régurgitation de sa valve mitrale. Lors de ľinsertion du cathéter une ondée de pression négative était observée dans le tracé de ľartère pulmonaire suivie ďune hémoptysie. Le rayon-X post-opératoire a révélé une infiltration distale au bout du cathéter de ľartère pulmonaire. Un tel tracé inhabituel de la pression de ľartère pulmonaire bloquée lors de la cathétérisation n’a jamais été rapporté dans lepassé.
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Takkunen, O.S., Kalso, E.A. Catheter-induced pulmonary artery perforation associated with an unusual wedge pressure tracing. Can J Anesth 34, 168–171 (1987). https://doi.org/10.1007/BF03015339
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DOI: https://doi.org/10.1007/BF03015339