CLAIRE POMEROY, M.D.; KARL A. NATH, M.B., CH.B.
To the editor: We read with interest the review on the use of the balloon-tipped pulmonary artery catheter (Swan-Ganz) by Moser and Spragg(1). As the authors pointed out, this procedure may be associated with some risk. We report the inadvertent placement of the catheter in the descending aorta, resulting in the spurious diagnosis of pulmonary hypertension.
A 51-year-old white man was hospitalized with chest pain associated with new ischemic changes in his electrocardiogram. The patient's medical history included insulin-dependent diabetes, hypertension, and exertional angina. Physical examination showed a diaphoretic man with a blood pressure of 190/100 mm Hg. There was
POMEROY C, NATH KA. A Misplaced Pulmonary Artery Catheter. Ann Intern Med. ;98:413. doi: 10.7326/0003-4819-98-3-413_2
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Published: Ann Intern Med. 1983;98(3):413.
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