Pulmonary artery pseudoaneurysm secondary to COVID-19 treated with endovascular embolisation.

Autor: Khurram R; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom., Karia P; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom., Naidu V; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom., Quddus A; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom., Woo WL; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom., Davies N; Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, United Kingdom.
Jazyk: angličtina
Zdroj: European journal of radiology open [Eur J Radiol Open] 2021; Vol. 8, pp. 100346. Date of Electronic Publication: 2021 Apr 18.
DOI: 10.1016/j.ejro.2021.100346
Abstrakt: Pulmonary artery pseudoaneurysms are uncommon and can cause severe, life-threatening haemoptysis. We present a case of a 74-year-old gentleman who was being treated for COVID-19 pneumonitis and a concomitant segmental pulmonary artery thrombus with conventional treatment and anticoagulation. The patient developed significant haemoptysis during admission. A repeat computed tomography pulmonary angiogram revealed an 8 mm left upper lobe pulmonary artery pseudoaneurysm. Anticoagulation was withheld and the pseudoaneurysm was successfully treated with endovascular embolisation with an Amplatzer® IV plug, leading to resolution of the haemoptysis. To our knowledge this is the first case of a pulmonary artery pseudoaneurysm secondary to COVID-19.
Competing Interests: The authors report no declarations of interest.
(Crown Copyright © 2021 Published by Elsevier Ltd.)
Databáze: MEDLINE