Endovascular treatment of a pulmonary artery pseudoaneurysm with a stent graft: report of two cases

Park, A.; Cwikiel, Wojciech

doi:10.1080/02841850601045104

Cited by 25 publications

(25 citation statements)

References 10 publications

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“…In the other hand, Rasmussen's pseudoaneurysms rise from peripheral branches of pulmonary artery, and thus require lobectomy or even pneumonectomy [20]. Endovascular aneurysm repair (EVAR) a less invasive technique which does not require open surgery has been described in a few case reports as a compassionate release indication [21,22]. Many centers reserve surgery for cases refractory to angiographic embolization as patients who undergo emergency surgical resection during active massive hemoptysis have a high morbidity and mortality rate [23].…”

Section: Discussionmentioning

confidence: 99%

Rasmussen's pseudoaneurysm- case report

Albogami

Touman

2018

Respiratory Medicine Case Reports

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BackgroundPulmonary aneurysms and pseudoaneurysms have various etiologies; however, the term Rasmussen's pseudoaneurysm refers specifically to a focal dilatation of a branch of the pulmonary artery into adjacent tuberculous cavity. The incidence of such tuberculosis related pulmonary vascular complication is extremely rare, hence, under recognized by many physicians. Management of pulmonary pseudoaneurysms is challenging as they present by life-threatening hemoptysis. Furthermore, contrary to the most causes of massive hemoptysis their bleeding is of pulmonary rather than bronchial artery origin. Prompt diagnosis and early interventions are needed as a very high mortality rate is associated with this illness.Case descriptionWe are reporting on a case of a young male who was presented to our hospital with recurrent episodes of massive hemoptysis and was diagnosed to have pulmonary tuberculosis. Despite being actively treated, his hemoptysis persisted. We describe in this case the role of different diagnostic modalities and the available therapeutic options.ConclusionRasmussen's psudoaneurysm is rare and potentially lethal pulmonary vascular complication of tuberculosis. It should be considered in the differential diagnosis of hemoptysis in patients known or suspected to have pulmonary tuberculosis. In such cases, multidetector computed tomography (MDCT) scanning is the investigation of choice to confirm the diagnosis and to localize the source of bleeding prior to the therapeutic interventions. Head to head comparison between interventional radiology procedures and surgery in treatment of pulmonary psudoaneurysms is lacking, thus, choice depend on the availability and local expertise.

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Section: Discussionmentioning

confidence: 99%

Rasmussen's pseudoaneurysm- case report

Albogami

Touman

2018

Respiratory Medicine Case Reports

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“…Although a pseudoaneurysm may resolve spontaneously, a surgical or endovascular intervention is commonly required. Endovascular interventions include embolization with various agents (4), thrombin injection (5), insertion of stent (6), and proximal balloon occlusion (7). However, there is paucity of data on which method is preferable.…”

Section: Discussionmentioning

confidence: 99%

An oocyte pick-up procedure complicated with pseudoaneurysm of the internal iliac artery

Bozdağ

Başaran

Çil

et al. 2008

Fertility and Sterility

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“…Other authors have occluded the PAP by intraneurysmal placement of coils (10); however it carries a potential risk of mass effect and aneurysm rupture. Still, other authors have described the use of covered stents (11), and recently, Hovis and Zeni (12) have used thrombin percutaneously for the PAA refractory to coil the embolisation. In our case, initially, we attempted unsuccessfully to occlude the feeding artery with the coils.…”

Section: Discussionmentioning

confidence: 99%