Innovative endovascular technique for treatment of rare cause of haemoptysis in young

A 17-year-old boy reported for evaluation of two episodes of massive haemoptysis. His clinical examination was unremarkable and investigations (haemogram, coagulogram, serological tests for connective tissue disorders) were normal. A 64-slice CT angiography revealed a saccular aneurysm of 3.8×3.7×3.3 cm arising from the right lower lobe pulmonary artery which was confirmed by cardiac catheterisation. The aneurysm was successfully blocked with a 16–14 Amplatzer duct occluder. A repeat CT angiogram performed after 15 days revealed the device in situ obliterating the aneurysm. Pulmonary artery aneurysm is an extremely rare cause of massive haemoptysis and indicates imminent rupture of the aneurysm which can be rapidly fatal. This case highlights the importance of using an innovative endovascular technique for treatment of a rare cause of haemoptysis.

[1]  K. Nakano,et al.  [Peripheral pulmonary artery aneurysm treated with embolization]. , 2012, Kyobu geka. The Japanese journal of thoracic surgery.

[2]  W. Budts,et al.  Bicuspid pulmonary valve with atrial septal defect leading to pulmonary aneurysm. , 2012, The Annals of thoracic surgery.

[3]  M. Tsiamita,et al.  AN UNEXPECTED PULMONARY ARTERIAL ANEURYSM IN A COPD PATIENT , 2011, Acta clinica Belgica.

[4]  Y. Park,et al.  A Case of Left Main Pulmonary Artery Aneurysm Associated with Valvular Pulmonary Stenosis in a Child , 2011, Pediatric Cardiology.

[5]  Sanjiv Sharma,et al.  Transcatheter treatment of pulmonary artery pseudoaneurysm using a PDA closure device. , 2011, Diagnostic and interventional radiology.

[6]  C. Marsault,et al.  Severe hemoptysis of pulmonary arterial origin: signs and role of multidetector row CT angiography. , 2008, Chest.

[7]  A. Pavie,et al.  Surgical treatment of a pulmonary artery aneurysm. , 2007, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[8]  L. Hofmann,et al.  Transcatheter coil embolization of large pulmonary artery pseudoaneurysms in a child. , 2003, Journal of vascular and interventional radiology : JVIR.

[9]  N. Prabhu,et al.  Ruptured idiopathic pulmonary artery aneurysm: unusual case of hemothorax treated by selective embolization. , 2001, Indian heart journal.

[10]  R. Burke,et al.  Endovascular stent graft treatment of a pulmonary artery pseudoaneurysm. , 2001, The Annals of thoracic surgery.

[11]  R. Kleiger,et al.  Pulmonary artery aneurysm: Review and case report , 1995, Clinical cardiology.