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Case 43-1980: Pulmonary Embolic Carcinomatosis

par Vincent, Jean Louis ;Brimioulle, Serge ;Vevaina, James J.R.;Stark, Paul;Myers, Jack J.D.
Référence The New England journal of medicine, 304, 10, page (609-610)
Publication Publié, 1981-03

Lettre à l'éditeur

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Résumé :

To the Editor: In Case 43–1980 (October 30) we were struck by the first chest roentgenogram, which showed that the pulmonary-artery catheter had been advanced far into an interlobar artery. The lack of relevant comment in the discussion of the film was surprising. It is possible that the pulmonary-artery balloon-occluded pressure could not be obtained in a more central pulmonary vessel in this patient. However, the second chest roentgenogram, which showed that the pulmonary-artery catheter had been withdrawn by several centimeters, argues against this possibility. The increased risk of pulmonary thrombosis has been documented when the pulmonary-artery catheter is wedged.  . . © 1981, Massachusetts Medical Society. All rights reserved.