Non-operative management strategy for blunt pulmonary artery pseudoaneurysm: A case report

Autor: Declan A. Feery, Kevin Kuruvilla, Allison G. McNickle, Douglas R. Fraser
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Trauma Case Reports, Vol 48, Iss , Pp 100954- (2023)
Druh dokumentu: article
ISSN: 2352-6440
DOI: 10.1016/j.tcr.2023.100954
Popis: Traumatic pulmonary artery pseudoaneurysms (PAP) are rare findings and are often associated with penetrating trauma to the chest. We present a case of a pulmonary artery pseudoaneurysm following blunt trauma. A 49-year-old man presented after a motor vehicle collision. Contrast enhanced computed tomography scans of the neck, chest, abdomen, and pelvis were obtained demonstrating a proximal right pulmonary artery pseudoaneurysm, small volume hemopericardium, left first rib fracture, and focal non-flow limiting dissection of left subclavian artery. For the management of right PAP, we adopted a non-operative management strategy with an esmolol infusion for strict heart rate and blood pressure control. An echocardiogram was obtained the next day revealing no cardiac tamponade. Angiography of the chest was done after 24 h which showed stable appearance of the right PAP and hemopericardium. Patient was discharged home on hospital day 11.
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