Skip to main content
Log in

Right completion pneumonectomy for impending rupture of a pulmonary artery pseudoaneurysm

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We present a case of right completion pneumonectomy for a pulmonary artery pseudoaneurysm after right upper lobectomy and radiotherapy for metachronous multiple right lung cancers. An 80-year-old man was referred to our hospital because of repeated hemoptysis. Computed tomography revealed a pseudoaneurysm in an interlobar pulmonary artery. We considered hemoptysis as a sign of impending rupture. Radiologists could not recommend embolization because of a high risk of rupture or pulmonary infarction, and re-hemoptysis due to coil movement; therefore, we performed right completion pneumonectomy because of severe adhesion. At last, the patient has completely recovered from impending rupture status.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Nguyen ET, Silva CI, Seely JM, Chong S, Lee KS, Müller NL. Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography. AJR Am J Roentgenol. 2007;188:W126–34.

    Article  PubMed  Google Scholar 

  2. Matsumura Y, Shiono S, Saito K, Sato T. Pulmonary artery pseudoaneurysm after lung resection successfully treated by coil embolization. Interact Cardiovasc Thorac Surg. 2010;11:364–5.

    Article  PubMed  Google Scholar 

  3. Lafita V, Borge MA, Demos TC. Pulmonary artery pseudoaneurysm: etiology, presentation, diagnosis, and treatment. Semin Intervent Radiol. 2007;24:119–23.

    Article  PubMed  PubMed Central  Google Scholar 

  4. McQueen AS, Mitchell L, Muller M, MacGowan G, Corris P. Iatrogenic pulmonary artery pseudoaneurysm: images from different modalities. Thorax. 2008;63:938.

    Article  CAS  PubMed  Google Scholar 

  5. Sbano H, Mitchell AW, Ind PW, Jackson JE. Peripheral pulmonary artery pseudoaneurysms and massive hemoptysis. AJR Am J Roentgenol. 2005;184:1253–9.

    Article  PubMed  Google Scholar 

  6. Remy J, Lemaitre L, Lafitte JJ, Vilain MO, Saint Michel J, Steenhouwer F. Massive hemoptysis of pulmonary arterial origin: diagnosis and treatment. AJR Am J Roentgenol. 1984;143:963–9.

    Article  CAS  PubMed  Google Scholar 

  7. Bao M, Zhou Y, Jiang G, Chen C. Pulmonary artery pseudoaneurysm after a left upper sleeve lobectomy. World J Surg Oncol. 2013;11:272.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Oguma T, Morise M, Harada K, Tanaka J, Sato M, Horio Y, et al. Pulmonary artery aneurysm/pseudoaneurysm, a delayed complication of lung abscess: a case report. Tokai J Exp Clin Med. 2015;40:86–9.

    PubMed  Google Scholar 

  9. Dimarakis I, Thorpe JA, Papagiannopoulos K. Successful treatment of a posttraumatic pulmonary artery pseudoaneurysm with coil embolization. Ann Thorac Surg. 2005;79:2134–6.

    Article  PubMed  Google Scholar 

  10. Shaaban H, Sharma H, Rao J, Clark S. A pulmonary artery false aneurysm after right middle lobectomy: a case report. J Med Case Rep. 2007;1:70.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Block M, Lefkowitz T, Ravenel J, Leon S, Hannegan C. Endovascular coil embolization for acute management of traumatic pulmonary artery pseudoaneurysm. J Thorac Cardiovasc Surg. 2004;5:784–5.

    Article  Google Scholar 

  12. Ichimura H, Okazaki H, Kikuchi K, Saitoh T, Haraguchi N, Onizuka M. A pseudoaneurysmal cyst in the pulmonary artery secondary to lung suppuration. J Thorac Cardiovasc Surg. 2007;133:1678–9.

    Article  PubMed  Google Scholar 

Download references

Funding

No funding was provided.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masatoshi Kanayama.

Ethics declarations

Conflict of interest

We have no conflict of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kanayama, M., Ichiki, Y. & Tanaka, F. Right completion pneumonectomy for impending rupture of a pulmonary artery pseudoaneurysm. Gen Thorac Cardiovasc Surg 67, 558–560 (2019). https://doi.org/10.1007/s11748-018-0977-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-018-0977-z

Keywords

Navigation