Embolization of a pulmonary arterial pseudoaneurysm with endovascular coils

Abstract Unrecognized pseudoaneurysm or rupture of a pulmonary artery is a rare but potentially catastrophic complication of pulmonary arterial catheterization. Herein, we describe a teenage patient with a pulmonary arterial pseudoaneurysm, probably iatrogenic, who presented with haemoptysis following catheterization of the right heart. The pseudoaneurysm was successfully embolized using coils inserted by catheter. Increased awareness of this lesion, its rapid recognition, and prompt therapy are the keys to a successful outcome.

[1]  G. Patterson,et al.  Mycotic pulmonary artery pseudoaneurysm. , 2005, Journal of thoracic imaging.

[2]  B. Meyers,et al.  Lung mass after pulmonary artery catheterization: beware of the pulmonary artery false aneurysm. , 2005, The Journal of thoracic and cardiovascular surgery.

[3]  A. Rieber,et al.  Value of multislice CT in the diagnosis of pulmonary artery pseudoaneurysm from Swan-Ganz catheter placement. , 2004, Journal of vascular and interventional radiology : JVIR.

[4]  A. Abreu,et al.  Pulmonary Artery Rupture Induced by a Pulmonary Artery Catheter: A Case Report and Review of the Literature , 2004, Journal of intensive care medicine.

[5]  K. Yoshimura,et al.  Transcatheter Embolization of Pulmonary Artery False Aneurysm Associated with Primary Pulmonary Hypertension , 2004, CardioVascular and Interventional Radiology.

[6]  M. Lewin,et al.  Résolution spontanée d'un faux anévrisme asymptomatique de l'artere pulmonaire induit par sonde de Swan-Ganz , 2001 .

[7]  V. Parsonnet,et al.  Management of catheter-induced pulmonary artery perforation: a rare complication in cardiovascular operations. , 2001, The Annals of thoracic surgery.

[8]  J. Rundback,et al.  Swan-Ganz catheter-induced pulmonary artery pseudoaneurysm formation: three case reports and a review of the literature. , 2001, Chest.

[9]  Y. Gottwalles,et al.  Coil Embolization Treatment in Pulmonary Artery Branch Rupture During Swan-Ganz Catheterization , 2000, CardioVascular and Interventional Radiology.

[10]  V. Walley,et al.  Catheter-induced pulmonary artery false aneurysm and rupture: case report and review. , 1994, Journal of cardiothoracic and vascular anesthesia.

[11]  M. Lewin,et al.  [Spontaneous resolution of asymptomatic false aneurysm of the pulmonary artery induced by Swan-Ganz catheter]. , 2001, Journal de radiologie.