M Joseph, J Nates
anesthesia, anesthesiology, critical care medicine, education, electronic publication, intensive care medicine, internet, multimedia, online, peer-review, regional anesthesia, trauma
M Joseph, J Nates. Case of the Month - Case 3/2000. The Internet Journal of Radiology. 1999 Volume 1 Number 1.
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.
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