CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S28-S29
DOI: 10.1055/s-0041-1730724
Abstract

Endovascular Management of a Pulmonary Artery Aneurysm

Noha Husain Guzaiz
King Abdullah Medical City, Makkah, Saudi Arabia
,
Ahmed Fouad Azhari
King Abdullah Medical City, Makkah, Saudi Arabia
,
Muath Abdulmohsen Alahmadi
King Abdullah Medical City, Makkah, Saudi Arabia
,
Mohammed Mahmood Raslan
King Abdullah Medical City, Makkah, Saudi Arabia
,
Ahmed Elsakhawy
King Abdullah Medical City, Makkah, Saudi Arabia
,
Almamoon Ibrahim Justaniah
King Abdullah Medical City, Makkah, Saudi Arabia
› Author Affiliations

Background: Pulmonary artery aneurysms are a rare. They constitute <1% of thoracic aneurysms with a prevalence of 1 in 14,000 individuals. Studies have shown associations with pulmonary hypertension and infection. Given its rarity, management of such cases is still controversial. Our aim is to present a minimally invasive technique using endovascular coiling. Case Report: We report a case of a 38-year-old female with a known history of chronic pulmonary embolism and bilateral pulmonary artery aneurysms. She presented with massive hemoptysis. Computed tomography (CT) angiography chest revealed multiple pulmonary aneurysms. A dominant 1.7 cm saccular aneurysm was noted in the right superior pulmonary artery with communication to the adjacent bronchus. Results: We performed a pulmonary arteriography that confirmed the CT findings. Coil embolization was performed to the dominant aneurysm, preserving the flow to the distal branches. The patient was discharged with no further episodes of hemoptysis up to 90 days. Complete thrombosis of the aneurysm was noted in the 60-day follow-up CT. Conclusion: Endovascular management can be considered as a minimally invasive alternative to surgical intervention for the management of pulmonary artery aneurysms.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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