Pulmonary artery pseudoaneurysm after tube thoracostomy.
Pulmonary artery pseudoaneurysm has been described as a complication of Swan-Ganz catheterization and right heart catheterization. Isolated cases of this condition occurring in blunt and penetrating chest trauma have been reported. In this communication, we describe the case of a patient with intracranial hemorrhage who required positive-pressure ventilation and in whom subsequent pneumothorax developed, necessitating tube thoracostomy. A persistent opacification of the lung field resulted in evaluation with computed chest tomography and color-flow Doppler ultrasonography. A pseudoaneurysm of the lingular segmental artery was identified and successfully obliterated by Gelfoam coil embolization.
Podbielski
F J
FJ
Department of Surgery, University of Illinois at Chicago 60612, USA.
Wiesman
I M
IM
Yaghmai
B
B
Owens
C A
CA
Benedetti
E
E
Massad
M G
MG
D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015505:Chest Tubes / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000293:injuries*; D013907:Thoracostomy / Q000009:adverse effects*