Pulmonary Artery Pseudoaneurysm Secondary to Lung Inf lammation

Ann Thorac Cardiovasc Surg. 2018 Jun 20;24(3):154-156. doi: 10.5761/atcs.cr.17-00172. Epub 2018 Jan 15.

Abstract

Pulmonary artery aneurysms (PAA) and pseudoaneurysms (PAP) are caused by infections, vasculitis, trauma, pulmonary hypertension, congenital heart disease, and connective tissue disease. Most cases of such aneurysm occur in the trunk or major branches of the pulmonary artery, while the peripheral type is less common. The treatment modalities are medical therapy, surgery, and percutaneous catheter embolization. The mortality rate associated with rupture is approximately 50%. We encountered a case of a 53-year-old man with a pulmonary artery pseudoaneurysm secondary to pneumonia and cavity formation during chemotherapy for acute myeloid leukemia (AML). In diagnosis, contrast-enhanced chest computed tomography (CT) scan and pulmonary angiography were very useful. He was treated with right middle and lower lobectomy. After 1-month follow-up, he could restart additional chemotherapy.

Keywords: lung inflammation; pneumonia; pulmonary artery pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Angiography
  • Humans
  • Male
  • Middle Aged
  • Pneumonectomy
  • Pneumonia / complications*
  • Pneumonia / diagnostic imaging
  • Pneumonia / surgery
  • Pulmonary Artery* / diagnostic imaging
  • Pulmonary Artery* / pathology
  • Pulmonary Artery* / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome