Case of the Month - Case 3/2000
M Joseph, J Nates
Keywords
anesthesia, anesthesiology, critical care medicine, education, electronic publication, intensive care medicine, internet, multimedia, online, peer-review, regional anesthesia, trauma
Citation
M Joseph, J Nates. Case of the Month - Case 3/2000. The Internet Journal of Radiology. 1999 Volume 1 Number 1.
Abstract
Case Study
This is a critically ill 24 year-old female patient, requiring a pulmonary artery (PA) catheter for hemodynamic management. Below are the 3 consecutive chest X rays, the first after a routine insertion of the PA catheter.
X-Ray 1
X-Ray 2
X-Ray 3
-
What is your diagnosis?
-
What is the incidence of this pathology?
-
What are the risk factors?
-
What is the known mortality rate?
-
What would be your treatment options?
Other potential complications due to use of a PA catheter include pneumothorax, arrhythmias, pulmonary infarction, sepsis and endocarditis, balloon rupture and subclavian artery injury.
Surgical options require a thoracotomy with arterial repair, 5 pneumonectomy 7 or lobectomy. 8