Percutaneous Embolization of an Angiographically Inaccessible Pulmonary Artery Pseudoaneurysm After Blunt Chest Trauma: A Case Report and Review of the Literature

Trisegmentectomy for traumatic left superior pulmonary vein pseudoaneurysm

“…In the modern era, angioembolization is becoming more commonplace. Endovascular coil embolization and percutaneous coil embolization have been employed with success in cases of pulmonary artery and vein pseudoaneurysms [2,3,7,8]. Interventional radiology guidelines for management typically follow those established for pulmonary artery venous malformations (PAVM) which uses the “3 mm guideline” as the threshold for embolization.…”

Huge traumatic pulmonary artery pseudoaneurysm

“…The diagnosis is made via contrast-enhanced CT scan, but a pulmonary angiogram is recommended to assist with treatment planning [6] . Multiple treatment options exist, including either complete or partial pneumonectomy and interventional endovascular treatments such as percutaneous thrombin ablation or coil embolization [7] . Even though coil embolization is considered the preferred treatment [3] , surgery historically was the most popular treatment option possibly due to a lack of endovascular repair availability.…”

Pulmonary artery and vein pseudoaneurysm after gunshot wound to the chest

“…[1236] Recently, fluoroscopically guided percutaneous injection of thrombin was employed in the management of angiographically inaccessible PAPA. [8] In an acute presentation, angiographical embolization is preferred because it allows for continue observation of the patient and prevents early lung resection. [9] Lesions that are not symptomatic require some form of therapy due to potential fatal rupture and subsequent exsanguinations.…”