1/5. A rare complication of subclavian vein catheterization: mediastinal haematoma, delayed resorption.Attempts for right and left subclavian vein catheterizations were unsuccessful in a patient followed for pre-eclampsia. Meanwhile, the patient developed chest pain and dyspnea. Chest radiography revealed mediastinal widening. Later, mediastinal haematoma was diagnosed by thoracic computed tomography. At 28 days follow-up, the mediastinal haematoma was resorbed. A review of literature revealed very few cases of mediastinal haematoma secondary to subclavian vein catheterization. In all these cases the haematoma was resorbed, usually within one week. Mediastinal haematoma is a rare complication and its resolution after several weeks adds to its rarity.- - - - - - - - - - ranking = 1keywords = catheterization (Clic here for more details about this article) |
2/5. Endomyocardial ultrastructural findings in preeclampsia.Ultrastructural findings in endomyocardial biopsy specimens obtained during cardiac catheterization in a patient with severe preeclampsia are described. Intramyocardial vessels revealed prominent swelling of the endothelial cell cytoplasm. In addition, cardiac myocyte mitochondria showed swelling and clearing within the matrix. Endomyocardial ultrastructural injury occurs in severe preeclampsia.- - - - - - - - - - ranking = 0.16666666666667keywords = catheterization (Clic here for more details about this article) |
3/5. Nonbacterial thrombotic endocarditis associated with severe preeclampsia and pulmonary artery catheterization. A case report.A pulmonary artery catheter was placed in a parturient whose 33-week gestation was complicated by severe preeclampsia and pulmonary edema. Cesarean delivery was performed for both maternal and fetal indications. During the second postoperative day the patient developed disseminated intravascular coagulation; subsequently she experienced sudden cardiopulmonary arrest and died. autopsy revealed multiple pulmonary thromboemboli and trivalvular nonbacterial thrombotic endocarditis.- - - - - - - - - - ranking = 0.66666666666667keywords = catheterization (Clic here for more details about this article) |
4/5. Postpartum myocardial infarction in a patient with antiphospholipid syndrome.myocardial infarction in association with pregnancy in patients with the antiphospholipid syndrome has been reported once previously. Our patient, a 22-year-old multiparous woman, experienced a myocardial infarction in the postpartum period. She fulfilled the criteria for the diagnosis of the antiphospholipid syndrome (elevated anticardiolipin antibody levels, false-positive syphilis serology, history of deep vein thrombosis). cardiac catheterization demonstrated appropriate central filling pressures, cardiac output of 7.14 L/min, and normal-appearing coronary arteries. She was treated with corticosteroids and indomethacin and recovered. Our article is relevant to clinical practice for the following reasons. First, it is the second time myocardial necrosis has been reported in a recently pregnant woman with the antiphospholipid syndrome. Second, the finding of normal-appearing coronary arteries at the time of catheterization lends credence to the hypothesis that either vasospasm or thrombosis are the inciting events. We speculate on the utility of various treatment regimens.- - - - - - - - - - ranking = 0.33333333333333keywords = catheterization (Clic here for more details about this article) |
5/5. adult respiratory distress syndrome: a consideration with rapid respiratory decompensation in association with preeclampsia.adult respiratory distress syndrome, presenting as rapid respiratory decompensation in the setting of preeclampsia at 36 weeks of gestation, was managed by early hemodynamic monitoring with pulmonary artery catheterization. With confirmation of the diagnosis of preeclampsia the patient was delivered promptly; improvement of her respiratory failure was observed within 48 hours. Consideration of adult respiratory distress syndrome in the setting of preeclampsia is discussed, with emphasis on early confirmation of the diagnosis and determination of the precise mechanisms of pulmonary edema.- - - - - - - - - - ranking = 0.16666666666667keywords = catheterization (Clic here for more details about this article) |