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Case Reports
. 2023 Apr;115(4):e89-e91.
doi: 10.1016/j.athoracsur.2022.04.016. Epub 2022 Apr 25.

Pulmonary Vascular Complication Associated With Coronavirus Infection and Role of Lung Resection

Lye-Yeng Wong  1 , Mithran Sukumar  2 , Cristina Fuss  3 , Ruchi Thanawala  2
Affiliations
Case Reports

Pulmonary Vascular Complication Associated With Coronavirus Infection and Role of Lung Resection

Lye-Yeng Wong et al. Ann Thorac Surg. 2023 Apr.

Abstract

Pulmonary artery pseudoaneurysms are an uncommon diagnosis and have been minimally described in the coronavirus (COVID-19) literature. In our case, a 31-year-old man presented with severe acute hypoxic respiratory failure, stress cardiomyopathy, and combined septic and cardiogenic shock secondary to COVID-19 pneumonia and Streptococcus anginosus bacteremia. The patient had perfusing granulomas eroding into the pulmonary vasculature, causing impending hemothorax. Thoracic surgical procedures for infectious pulmonary artery pseudoaneurysms or perfusing granulomas in patients who have had COVID-19 should be performed selectively and with thoughtful perioperative planning to prevent the life-threatening complications of rupture and bleeding.

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Figures

Figure 1
Figure 1
Chronologic evolution of septic emboli (clockwise from top left).
See this image and copyright information in PMC

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