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      Pseudoaneurysm of pulmonary artery: rare complication of systemic chemotherapy

      case-report
      1 , 1 , 2
      Clinical Case Reports
      John Wiley & Sons, Ltd
      Chemotherapy, coil embolization, pseudoaneurysm

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Key Clinical Message

          Pulmonary artery pseudoaneurysm is an uncommon yet fatal clinical entity. Its presentation can mimic a number of common diseases and can be easily missed. As pseudoaneurysm is associated with a number of fatal complications, clinicians should be aware of imaging features which distinguishes pseudoaneurysms from its close differentials. Early recognition and treatment of pseudoaneurysm can prevent fatal outcomes including hemothorax, rupture, or death.

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          Most cited references11

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          Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography.

          The purpose of this pictorial essay is to illustrate the radiologic manifestations of pulmonary artery aneurysms and pseudoaneurysms with emphasis on the findings on contrast-enhanced CT. Pulmonary artery aneurysms and pseudoaneurysms are uncommon. Most are caused by trauma, often iatrogenic, infection, and Behçet's syndrome. Less common causes include pulmonary hypertension, congenital heart disease, neoplasms, and connective tissue disease. Recognition of pulmonary artery aneurysms and pseudoaneurysms is important because of the high morbidity and mortality rates of rupture.
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            The Role of Pulmonary CT Angiography and Selective Pulmonary Angiography in Endovascular Management of Pulmonary Artery Pseudoaneurysms Associated with Infectious Lung Diseases

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              Pulmonary artery pseudoaneurysm related to radiofrequency ablation of lung tumor.

              We describe a case of pulmonary artery (PA) pseudoaneurysm related to radiofrequency ablation (RFA) of lung tumor. We performed RFA for a pulmonary epithelioid hemangioendothelioma directly adjacent to a branch of the PA. Seventeen days later, the patient complained of hemoptysis. A chest CT image revealed PA pseudoaneurysm. Transcatheter coil embolization was performed 59 days after RFA. Although PA pseudoaneurysm is rare, with an incidence of 0.2% (1/538 sessions) at our institution, it should be recognized as a risk when treating lung tumors adjacent to a branch of the PA.
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                Author and article information

                Journal
                Clin Case Rep
                Clin Case Rep
                ccr3
                Clinical Case Reports
                John Wiley & Sons, Ltd (Chichester, UK )
                2050-0904
                2050-0904
                October 2015
                02 September 2015
                : 3
                : 10
                : 845-848
                Affiliations
                [1 ]Department of Internal Medicine, Albert Einstein Medical Center Philadelphia, Pennsylvania
                [2 ]Department of Hematology and Oncology, MOHA Cancer Center, Albert Einstein Medical Center Philadelphia, Pennsylvania
                Author notes
                Correspondence Shivani Garg, Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA. Tel: 2404000889; Fax: 4047271300; E-mail: shivanigarg88@ 123456yahoo.co.in

                Funding Information No sources of funding were declared for this study

                Article
                10.1002/ccr3.363
                4614654
                26509021
                523b56cf-c042-4400-b932-0bbfa0c93315
                © 2015 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

                History
                : 21 April 2015
                : 17 June 2015
                : 30 June 2015
                Categories
                Case Reports

                chemotherapy,coil embolization,pseudoaneurysm
                chemotherapy, coil embolization, pseudoaneurysm

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