Zusammenfassung
Ein Aneurysma der Pulmonalarterie ist eine seltene (1 : 3000), aber lebensbedrohliche
Komplikation des Einsatzes eines Swan-Ganz-Katheters. Typisches klinisches Symptom
ist die Hämoptyse, aber auch ein klinisch stummes Aneurysma zeigt pathognomonische
Veränderungen im Röntgenbild des Thorax. Die hohe Letalität der Komplikation erzwingt
eine sorgfältige Überwachung der Patienten und eine Therapie, welche als interventionell-angiographischer
Eingriff risikoarm und erfolgversprechend durchzuführen ist.
Abstract
Dissecting aneurysm of the pulmonary artery is a rare (1 : 3000) but life threatening
complication of the use of Swan-Ganz catheters. The most typical clinical manifestation
is hemoptysis, even a asymptomatic aneurysm causes pathognomonic X-ray findings. The
eventually long free intervall between catheterisation and formation of the dissecting
aneurysm requires thorough follow up of the concerning patients, e. g. chest roentgenograms
and thorax CT-scans. The endovascular therapy of this lesion has replaced surgery
due to a much better risk profile. The aime of the endovascular treatment is a coil-occlusion
of the parent artery immediately proximal to the aneurysm. The success of this procedure
will be instantaneously evident.
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Dr. Michael Montag
Klinik für Radiologie und Neuroradiologie · Alfried Krupp von Bohlen und Halbach Krankenhaus
Alfried Krupp Straße 21
45131 Essen