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. 2018 Apr;19(2):94-96.
doi: 10.5152/TurkThoracJ.2017.17010. Epub 2017 Jul 21.

Massive Hemoptysis from a Pulmonary Artery Pseudoaneurysm during Cardiac Surgery

Alfredo Giuseppe Cerillo  1 , Elisa Barberi  2 , Francesca Amoretti  3 , Sergio Berti  4
Affiliations

Massive Hemoptysis from a Pulmonary Artery Pseudoaneurysm during Cardiac Surgery

Alfredo Giuseppe Cerillo et al. Turk Thorac J. 2018 Apr.

Abstract

Massive hemoptysis is a life-threatening condition usually related to a pathology of the bronchial arteries. Pulmonary artery pseudoaneurysms represent a relatively rare cause of severe airway bleeding, but are associated with a mortality rate of over 50%. A case of massive intraoperative hemoptysis treated with temporary occlusion of the right pulmonary artery and delayed endovascular occlusion of the feeding segmental artery is described.

Keywords: Hemoptysis; computed tomography; pseudoaneurysm; pulmonary artery catheterization.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1. a, b
Figure 1. a, b
Contrast-enhanced computed tomography scan of the chest, double oblique axial view demonstrating the presence of a large pseudoaneurysm originating from the right upper anterior segmental artery. The right lung is almost completely collapsed. (a) After the embolization of the feeding artery, the pseudoaneurysm is excluded from the circulation (b)
Figure 2. a, b
Figure 2. a, b
Selective injection in the left upper lobar pulmonary artery. (a) An Amplatzer vascular plug II has been released in the right upper anterior segmental artery. The pseudoaneurysm is excluded from the circulation (b)
See this image and copyright information in PMC

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