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Embolization of a pulmonary arterial pseudoaneurysm with endovascular coils

Published online by Cambridge University Press:  01 October 2007

Shaji C. Menon ,
Anthony W. Stanson  and
Donald J. Hagler
Shaji C. Menon*
Affiliation:
Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota, United States of America
Anthony W. Stanson
Affiliation:
Department of Vascular/Interventional Radiology, Mayo Clinic, Rochester, Minnesota, United States of America
Donald J. Hagler
Affiliation:
Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota, United States of America
*
Correspondence to: Shaji Menon, MD, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA. Tel: +1 507 284 3297; Fax: +1 507 284 3968; E-mail: menon.shaji@mayo.edu
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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.

Keywords

Interventional catheterizationhaemoptysiscongenital cardiac disease

Information

Type
Images in Congenital Heart Disease
Information
Cardiology in the Young , Volume 17 , Issue 5 , October 2007 , pp. 569 - 571
Copyright
Copyright © Cambridge University Press 2007

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References

1.Kierse, R, Jensen, U, Helmberger, H, Muth, G, Rieber, A. Value of multislice CT in the diagnosis of pulmonary artery pseudoaneurysm from Swan-Ganz catheter placement. J Vasc Interv Radiol 2004; 15: 1133–1137.CrossRefGoogle ScholarPubMed
2.De Lima, LG, Wynands, JE, Bourke, ME, Walley, VM. Catheter- induced pulmonary artery false aneurysm and rupture. J Cardiothorac Vasc Anesth 1994; 8: 70–75.CrossRefGoogle ScholarPubMed
3.Sirivella, S, Gielchinsky, I, Parsonnet, V. Management of catheter-induced pulmonary artery perforation: a rare complication in cardiovascular operations. Ann Thorac Surg 2001; 72: 2056–2059.CrossRefGoogle ScholarPubMed
4.Choong, CK, Meyers, BF. Lung mass after pulmonary artery catheterization: beware of the pulmonary artery false aneurysm. J Thorac Cardiovasc Surg 2005; 130: 899–900.CrossRefGoogle ScholarPubMed
5.Hiraki, T, Kanzawa, S, Mimura, H, et al. . Transcatheter embolization of pulmonary artery false aneurysm associated with primary pulmonary hypertension. Cardiovasc Intervent Radiol 2004; 27: 186–189.CrossRefGoogle ScholarPubMed
6.Poplausky, MR, Rozenblit, G, Rundback, JH, Crea, G, Maddineni, S, Leonardo, R. Swan-Ganz catheter-induced pulmonary artery pseudoaneurysm formation: three case reports and a review of the literature. Chest 2001; 120: 2105–2111.CrossRefGoogle Scholar
7.Abreu, AR, Campos, MA, Krieger, BP. Pulmonary artery rupture induced by a pulmonary artery catheter: a case report and review of the literature. J Intensive Care Med 2004; 19: 291–296.CrossRefGoogle ScholarPubMed
8.Rouquier, J, Arrive, L, Masini, JP, Monnier-Cholley, L, Lewin, M, Tubiana, JM. Spontaneous resolution of asymptomatic false aneurysm of the pulmonary artery induced by Swan-Ganz catheter. J Radiol 2001; 82: 1732–1734.Google ScholarPubMed
9.Gottwalles, Y, Wunschel-Joseph, ME, Hanssen, M. Coil embolization treatment in pulmonary artery branch rupture during Swan-Ganz catheterization. Cardiovasc Intervent Radiol 2000; 23: 477–479.CrossRefGoogle ScholarPubMed
10.Mody, GN, Lau, CL, Bhalla, S, et al. . Mycotic pulmonary artery pseudoaneurysm. J Thorac Imaging 2005; 20: 310–312.CrossRefGoogle ScholarPubMed