Foley catheter balloon tamponade as a method of controlling iatrogenic pulmonary artery bleeding in redo thoracic surgery
Main Article Content
Abstract
Background: Pulmonary artery bleeding secondary to iatrogenic injury is a troublesome intraoperative complication. The likelihood of encountering this complication is significantly higher in redo surgery for a number of reasons, including distortion of anatomical structures, adhesions and loss of tissue planes. Significant blood loss, although rare, remains a concern, and can occasionally be life-threatening. When significant bleeding from the pulmonary artery occurs, it can be a challenging situation to manage.
Case Report: A 65 year old female was undergoing redo thoracic surgery in the setting of a completion lobectomy for biopsy-proven primary adenocarcinoma of the lung. Iatrogenic injury to the pulmonary artery resulted in significant bleeding that could not be managed by gaining proximal control due to dense adhesions. The novel decision to utilize a Foley catheter for balloon tamponade was taken, in order to provide sufficient haemostasis for definitive surgical repair of the defect to be undertaken
Conclusion: The increased technical difficulties of redo thoracic surgery are well recognised. We describe the first case of Foley catheter balloon tamponade being utilized in the context of iatrogenic pulmonary artery bleeding during thoracic surgery.
Article Details
Copyright (c) 2019 Taylor M, et al.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The Archives of Case Reports is committed in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. In order to use the Open Access paradigm to the maximum extent in true terms as free of charge online access along with usage right, we grant usage rights through the use of specific Creative Commons license.
License: Copyright © 2017 - 2025 | Open Access by Archives of Case Reports is licensed under a Creative Commons Attribution 4.0 International License. Based on a work at Heighten Science Publications Inc.
With this license, the authors are allowed that after publishing with the journal, they can share their research by posting a free draft copy of their article to any repository or website.
Compliance 'CC BY' license helps in:
Permission to read and download | ✓ |
Permission to display in a repository | ✓ |
Permission to translate | ✓ |
Commercial uses of manuscript | ✓ |
'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license.
Nwaejike N, Elbur E, Malagon I, Dodman N, Hewitt K, et al. Is there a role for the high-risk multidisciplinary team meeting in thoracic surgery? Interact Cardiovasc Thorac Surg. 2016; 22: 397-400. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26810916
Lung cancer clinical outcomes publication 2016. Royal College of Physicians & Society for Cardiothoracic Surgery in Great Britain & Ireland.
Agostini P, Cieslik H, Rathinam S, Bishay E, Kalkat MS, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax. 2010; 65: 815-818. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20805178
Lim E, Baldwin D, Beckles M, Duffy J, Entwisle J, et al. Guidelines on the radical management of patients with lung cancer. British Thoracic Society. 2010. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20940263
Omasa M, Date H, Takamochi K, Suzuki K, Miyata Y, et al. Completion lobectomy after radical segmentectomy for pulmonary malignancies. Asian Cardiovasc Thorac Ann. 2016; 24: 450–454. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27207503
Taylor H, Williams E. Arteriovenous fistula following disk surgery. Br J Surgery. 1962; 50: 47-50. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/13919962 v
Elmoghrabi A, Mohamed M, Eggers A, Parmar N, McCann M. More than just a urinary catheter - Haemorrhage control by using a Foley catheter in a penetrating aortic root injury. Trauma Case Rep. 2016; 5: 13-17. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29942849
Feliciano DV, Burch JM, Mattox KL, Bitondo CG, Fields G. Balloon catheter tamponade in cardiovascular wounds. Am J Surg. 1990; 160: 583-587. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/2252117
Weppner J. Improved mortality from penetrating neck and maxillofacial trauma using Foley catheter balloon tamponade in combat. J Trauma Acute Care Surg. 2013; 75: 220-224. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23823611
Navsaria P, Thoma M, Nicol A. Foley catheter balloon tamponade for life-threatening hemorrhage in penetrating neck trauma. World J Surg. 2006; 30:1265-1268. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16830215