Hemoptysis secondary to pulmonary pseudoaneurysm 30 years after a gunshot wound.
A 49-year-old man presented with intermittent hemoptysis from a traumatic pulmonary artery pseudoaneurysm 30 years following a thoracic gunshot wound. The patient was asymptomatic for 28.5 years, when he began experiencing recurrent hemoptysis, chest pain, and a cough. A left lower lobe mass on chest x-ray film was investigated with contrast-enhanced computed tomography and pulmonary angiogram confirming a 1.5-cm pseudoaneurysm. Intraluminal coil embolization was attempted, but a left lower lobectomy was ultimately necessary to treat persistent hemoptysis.
Department of Surgery, The University of Texas Medical Branch, Galveston, USA.
C
C
Savage
J B
JB
Zwischenberger
K C
KC
Ventura
G R
GR
Wittich
D017541:Aneurysm, False / Q000209:etiology*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D013997:Time Factors; D014948:Wounds, Gunshot / Q000150:complications*