Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm
Abstract Background Pulmonary pseudoaneurysm (PPA) is a potentially lethal complication of lung resection with a high risk of recurrence after endovascular coiling. Case presentation We report a case in which recurrent hemoptysis due to PPA after left lower lobe sleeve resection was treated by endov...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-09-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-021-01306-4 |
| _version_ | 1818984755110084608 |
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| author | Yojiro Yutaka Junichi Tasaki Itsuki Yuasa Kotaro Murakami Hiroshi Date |
| author_facet | Yojiro Yutaka Junichi Tasaki Itsuki Yuasa Kotaro Murakami Hiroshi Date |
| author_sort | Yojiro Yutaka |
| collection | DOAJ |
| description | Abstract Background Pulmonary pseudoaneurysm (PPA) is a potentially lethal complication of lung resection with a high risk of recurrence after endovascular coiling. Case presentation We report a case in which recurrent hemoptysis due to PPA after left lower lobe sleeve resection was treated by endovascular embolization of the left main pulmonary artery as a salvage treatment. The first hemoptysis was managed by endovascular coil embolization with extracorporeal membrane oxygenation, but refractory hemorrhage occurred 3 months later due to penetration of the endovascular coil into the bronchial anastomosis site. Because left completion pneumonectomy was considered too high risk, the left main pulmonary artery was palliatively embolized using an Amplatzer vascular plug (St. Jude Medical, MN, USA) to totally disrupt the left pulmonary arterial flow. Conclusions Total embolization of the left main pulmonary artery for repeated PPA rupture may be useful as a palliative treatment in patients unable to tolerate pneumonectomy. |
| first_indexed | 2024-12-20T18:24:02Z |
| format | Article |
| id | doaj.art-72cfeef0a4f64ac29d2d7bdbf0e4bc49 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-20T18:24:02Z |
| publishDate | 2021-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-72cfeef0a4f64ac29d2d7bdbf0e4bc492022-12-21T19:30:12ZengSpringerOpenSurgical Case Reports2198-77932021-09-01711610.1186/s40792-021-01306-4Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysmYojiro Yutaka0Junichi Tasaki1Itsuki Yuasa2Kotaro Murakami3Hiroshi Date4Department of Thoracic Surgery, Kyoto University HospitalDepartment of Cardiovascular Medicine, Kyoto University HospitalDepartment of Thoracic Surgery, Kyoto University HospitalDepartment of Thoracic Surgery, Kyoto University HospitalDepartment of Thoracic Surgery, Kyoto University HospitalAbstract Background Pulmonary pseudoaneurysm (PPA) is a potentially lethal complication of lung resection with a high risk of recurrence after endovascular coiling. Case presentation We report a case in which recurrent hemoptysis due to PPA after left lower lobe sleeve resection was treated by endovascular embolization of the left main pulmonary artery as a salvage treatment. The first hemoptysis was managed by endovascular coil embolization with extracorporeal membrane oxygenation, but refractory hemorrhage occurred 3 months later due to penetration of the endovascular coil into the bronchial anastomosis site. Because left completion pneumonectomy was considered too high risk, the left main pulmonary artery was palliatively embolized using an Amplatzer vascular plug (St. Jude Medical, MN, USA) to totally disrupt the left pulmonary arterial flow. Conclusions Total embolization of the left main pulmonary artery for repeated PPA rupture may be useful as a palliative treatment in patients unable to tolerate pneumonectomy.https://doi.org/10.1186/s40792-021-01306-4Pulmonary pseudoaneurysmEndovascular coilingPneumonectomyHemoptysis |
| spellingShingle | Yojiro Yutaka Junichi Tasaki Itsuki Yuasa Kotaro Murakami Hiroshi Date Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm Surgical Case Reports Pulmonary pseudoaneurysm Endovascular coiling Pneumonectomy Hemoptysis |
| title | Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| title_full | Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| title_fullStr | Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| title_full_unstemmed | Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| title_short | Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| title_sort | salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm |
| topic | Pulmonary pseudoaneurysm Endovascular coiling Pneumonectomy Hemoptysis |
| url | https://doi.org/10.1186/s40792-021-01306-4 |
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