Percutaneous Coil Embolization of Traumatic Juxtacardiac Right Inferior Pulmonary Vein Pseudoaneurysm

Trisegmentectomy for traumatic left superior pulmonary vein pseudoaneurysm

“…While angioembolization is the preferred initial approach for pulmonary artery pseudoaneurysms, access to the pulmonary venous system for endovascular intervention may prove challenging, requiring these patients to undergo definitive surgical intervention. Endovascular access to the pulmonary veins may be achieved through a transfemoral approach with retrograde advancement through the aortic and mitral valves or through an interatrial transeptal puncture as in the Brockenbrough technique [1,10]. In each case, the procedure is technically challenging with risk of injury to surrounding structures and vessels.…”

“…In survivors without immediate intervention, a pseudoaneurysym of the arterial or venous wall may develop at the site of vascular trauma. Fortunately, the pressure within the pulmonary circulation is sufficiently low to facilitate thrombosis of the pseudoaneurysm [1]. This is particularly true for pulmonary vein pseudoaneurysms.…”

Conservative management of a traumatic common iliac venous pseudoaneurysm: a case report

“…Peripheral arterial pseudoaneurysms with active blood flow, such as femoral arteries injured during catheterization, can be diagnosed with ultrasound and treated with ultrasonographically guided thrombin injection [5, 6]. Other options include endovascular coil embolization, covered stent placement or operative repair [2, 7, 8]. However, the lack of literature on venous pseudoaneurysms limits evidence-based treatment.…”