HEART TRANSPLANTATION IN PATIENT WITH POST-RUPTURE PSEUDOANEURYSM OF SEGMENTAL BRANCH OF PULMONARY ARTERY

Right heart catheterization (RHC) should be performed on all candidates in preparation for listing for cardiac transplantation. Patient, 64 y. o., with chronic heart failure NYHA III class, had developed a rare complication while performing that procedure – a rupture of segmental branch of pulmonary artery (PA) with pulmonary haemorrhage. The episode of pulmonary bleeding was stopped conservatively without surgical management. There was a pseudoaneurysm formation of segmental branch of PA 2,7 × 2,8 cm with signs of thrombosis. After
fi ve months the patient underwent heart transplantation without severe complications in perioperative period. No more recurrent episodes of pulmonary haemorrhage were identifi ed.

1. Hosenpud J, Bennett L, Keck B, Boucek MM, Novick RJ. The Registry of the International Society for Heart and Lung Transplantation: seventeenth offi cial report-2000. J Heart Lung Transplant. 2000; 19: 909–931.

2. Klima U, Ringes-Lichtenberg S, Warnecke G, Lichtenberg A, Strüber M, Haverich A. Severe right heart failure after heart transplantation. A single-center experience. Transpl Int. 2005; 18: 326–332.

3. Mehra MR, Kobashigawa J, Starling R, Russell S, Uber PA, Parameshwar J. Listing criteria for heart transplantation: International Society for Heart and Lung Transplantation guidelines for the care of cardiac transplant candidates 2006. J Heart Lung Transplant. 2006; 25: 1024–1042.

4. Трансплантация сердца. Национальные клинические рекомендации 2013. http://transpl.ru/images/cms/data/pdf/nacional_nye_klinicheskie_rekomendacii_po_transplantacii_serdca.pdf. Transplantatsiya serdtsa. Natsional'nye klinicheskie rekomendatsii 2013. http:// transpl.ru/images/cms/data/pdf/nacional_nye_klinicheskie_ rekomendacii_po_transplantacii_serdca.pdf.

5. Costanzo M, Dipchand A, Starling R, Anderson A, Chan M, Desai S. International Society for Heart and Lung Transplantation Guidelines for the Care of Cardiac Transplant Candidates. J Heart Lung Transplant. 2010; 29: 914–956.

6. Boyd KD, Thomas SJ, Gold J, Boyd AD. A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients. Chest. 1983; 84: 245– 249.

7. Harvey S, Harrison DA, Singer M, Ashcroft J, Jones CM, Elbourne D et al. PAC-Man study collaboration. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial. The Lancet. 2005; 366: 435–436.

8. Booth KL, Mercer-Smith G, McConkey C, Parissis H. Catheter-induced pulmonary artery rupture: haemodynamic compromise necessitates surgical repair. Interact CardioVasc Thorac Surg. 2012; 15: 531–533.

9. Hadian M, Pinsky MR. Evidence-based review of the use of the pulmonary artery catheter: impact data and complications. Crit Care. 2006; 10 (Suppl 3): S8.

10. Bussieres JS. Iatrogenic pulmonary artery rupture. Curr Opin Anaesthesiol. 2007; 20: 48–52.

11. Kearney TJ, Shabot MM. Pulmonary artery rupture associated with the Swan-Ganz catheter. Chest. 1995; 108:1349–1352.