Endovascular treatment of pulmonary artery aneurysm: Single case experience

A peripheral pulmonary artery aneurysm (PAA) is a dilatation involving all 3-vessel wall layers (the intima, media, and adventitia) of a distal pulmonary artery. It represents a rare but potentially life-threatening condition. There are only some reviews of transcatheter embolization of unruptured i...

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Main Authors: Adriana Ilardi, MD, Mariangela Clemenza, MD, Sebastiano Piana, MD, Diego Meo, MD, Viviana Lentini, MD, Vincenzo Magnano San Lio, MD, Giuseppe Giordano, MD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323006544
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author Adriana Ilardi, MD
Mariangela Clemenza, MD
Sebastiano Piana, MD
Diego Meo, MD
Viviana Lentini, MD
Vincenzo Magnano San Lio, MD
Giuseppe Giordano, MD
author_facet Adriana Ilardi, MD
Mariangela Clemenza, MD
Sebastiano Piana, MD
Diego Meo, MD
Viviana Lentini, MD
Vincenzo Magnano San Lio, MD
Giuseppe Giordano, MD
author_sort Adriana Ilardi, MD
collection DOAJ
description A peripheral pulmonary artery aneurysm (PAA) is a dilatation involving all 3-vessel wall layers (the intima, media, and adventitia) of a distal pulmonary artery. It represents a rare but potentially life-threatening condition. There are only some reviews of transcatheter embolization of unruptured idiopathic peripheral PAAs. Association with cardiac diseases, infections, vascular anomalies, pulmonary hypertension, and vasculitis has been noted. We report a case of a 38-year-old woman, with a history of third-degree atrioventricular (AV) block, treated with pacemaker placement, who presented a PAA in the left pulmonary lobe. Transcatheter coil embolization was performed, using a triple coaxial catheter system (a 6F outer, a 5F intermediate, and a 2.4F inner catheter) to prevent rupture and the aneurysm was successfully embolized. Although there is no consensus on the treatment for unruptured idiopathic peripheral PAAs, transcatheter embolization may be a promising treatment option.
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spelling doaj.art-189bd0a67a01453e8e9b9e6b4984463c2023-10-22T04:48:48ZengElsevierRadiology Case Reports1930-04332023-12-01181244394442Endovascular treatment of pulmonary artery aneurysm: Single case experienceAdriana Ilardi, MD0Mariangela Clemenza, MD1Sebastiano Piana, MD2Diego Meo, MD3Viviana Lentini, MD4Vincenzo Magnano San Lio, MD5Giuseppe Giordano, MD6Radiology Unit 1, AOU Policlinico “G. Rodolico - San Marco”, PO “G. Rodolico”, University of Catania, Catania, Italy; Corresponding author.Radiology Unit 1, AOU Policlinico “G. Rodolico - San Marco”, PO “G. Rodolico”, University of Catania, Catania, ItalyDiagnostic and interventional Radiology Unit ARNAS Garibaldi - Nesima - Catania, ItalyDiagnostic and interventional Radiology Unit ARNAS Garibaldi - Nesima - Catania, ItalyDiagnostic and interventional Radiology Unit ARNAS Garibaldi - Nesima - Catania, ItalyDiagnostic and interventional Radiology Unit ARNAS Garibaldi - Nesima - Catania, ItalyDiagnostic and interventional Radiology Unit ARNAS Garibaldi - Nesima - Catania, ItalyA peripheral pulmonary artery aneurysm (PAA) is a dilatation involving all 3-vessel wall layers (the intima, media, and adventitia) of a distal pulmonary artery. It represents a rare but potentially life-threatening condition. There are only some reviews of transcatheter embolization of unruptured idiopathic peripheral PAAs. Association with cardiac diseases, infections, vascular anomalies, pulmonary hypertension, and vasculitis has been noted. We report a case of a 38-year-old woman, with a history of third-degree atrioventricular (AV) block, treated with pacemaker placement, who presented a PAA in the left pulmonary lobe. Transcatheter coil embolization was performed, using a triple coaxial catheter system (a 6F outer, a 5F intermediate, and a 2.4F inner catheter) to prevent rupture and the aneurysm was successfully embolized. Although there is no consensus on the treatment for unruptured idiopathic peripheral PAAs, transcatheter embolization may be a promising treatment option.http://www.sciencedirect.com/science/article/pii/S1930043323006544Peripheral pulmonary artery aneurysmCoil embolizationCT angiographyChest
spellingShingle Adriana Ilardi, MD
Mariangela Clemenza, MD
Sebastiano Piana, MD
Diego Meo, MD
Viviana Lentini, MD
Vincenzo Magnano San Lio, MD
Giuseppe Giordano, MD
Endovascular treatment of pulmonary artery aneurysm: Single case experience
Radiology Case Reports
Peripheral pulmonary artery aneurysm
Coil embolization
CT angiography
Chest
title Endovascular treatment of pulmonary artery aneurysm: Single case experience
title_full Endovascular treatment of pulmonary artery aneurysm: Single case experience
title_fullStr Endovascular treatment of pulmonary artery aneurysm: Single case experience
title_full_unstemmed Endovascular treatment of pulmonary artery aneurysm: Single case experience
title_short Endovascular treatment of pulmonary artery aneurysm: Single case experience
title_sort endovascular treatment of pulmonary artery aneurysm single case experience
topic Peripheral pulmonary artery aneurysm
Coil embolization
CT angiography
Chest
url http://www.sciencedirect.com/science/article/pii/S1930043323006544
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