title: Post traumatic pulmonary pseudoaneurysm requiring pneumonectomy: a case report.
abstract: A 57-year-old male presented with progressive exertional dyspnea, cough, and hemoptysis. He underwent a chest computed tomography (CT) that demonstrated a 27 cm × 20 cm right chest mass that was causing a local mass effect. Pertinent history revealed that the patient had suffered a severe chest trauma from a MVA in 1981. The patient underwent workup including: needle localized biopsy, bronchoscopy and endoscopic biopsy. There was considerable concern for a malignant process and a subsequent right pneumonectomy with en bloc resection of the chest wall and diaphragm was performed. The final pathology concluded the mass to be a large pseudoaneurysm. Pseudoaneurysms after traumas are extremely rare, especially blunt trauma, and should be considered once other etiologies have been excluded.
authors.affiliation: Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA ;
authors.forename: Isaac L
authors.initials: IL
authors.lastname: Theerman
authors.affiliation: Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA ;
authors.forename: Mark
authors.initials: M
authors.lastname: Choi
authors.affiliation: Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA ;
authors.forename: Aaron
authors.initials: A
authors.lastname: Fowler
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA ;
authors.forename: Hannah
authors.initials: H
authors.lastname: Copeland
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA ;
authors.forename: Jessica
authors.initials: J
authors.lastname: Heimes
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA ;
authors.forename: Nahidh
authors.initials: N
authors.lastname: Hasaniya
authors.affiliation: Department of Pathology, Loma Linda University Medical Center, Loma Linda, CA, USA.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Deisch
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA ;
authors.forename: Jason M
authors.initials: JM
authors.lastname: Wallen
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA ;
authors.forename: Salman
authors.initials: S
authors.lastname: Zaheer
keywords: Aneurysm; pneumonectomy; pulmonary arteries; pulmonary veins; trauma; trauma blunt