Pulmonary artery pseudoaneurysm after lung resection successfully treated by coil embolization.
A 60-year-old man complaining of pyrexia and hemoptysis was diagnosed with a squamous cell carcinoma in his right lung. He underwent a right lower lobectomy with lymph node dissection. Following chest tube removal, he suffered from pyrexia and hemoptysis necessitating CT-scans which detected a pulmonary artery pseudoaneurysm (PAP). An emergent pulmonary arteriography was performed and the PAP was embolized with microcoils. After six years of follow-up, he has been free from recurrence of both the PAP and lung cancer. PAPs represent a rare, but life-threatening condition. Because of their risk of rupture, emergent intervention is necessary. In the past, PAPs were treated with open repair, but recent advances in endovascular surgery have allowed for a less invasive treatment. In this report, we describe an extremely rare case of PAP after lobectomy for lung cancer that was successfully treated by coil embolization.
Matsumura
Yuki
Y
Division of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan. yukmatsu@east.ncc.go.jp
Shiono
Satoshi
S
Saito
Kiyohiro
K
Sato
Toru
T
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome