Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling
Pulmonary artery pseudoaneurysms are a rare but life-threatening cause of hemoptysis. These are saccular dilatations of the pulmonary artery which do not involve all the three layers of the vessel and are prone to rupture. PAPAs are most commonly associated with infections but may also be caused by...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007122001307 |
| _version_ | 1818027166802116608 |
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| author | Tanya Athavale Amita Athavale Abhishek Bairy Mahesh Jansari Sonal Karpe Mangesh Nagare Vinod Mutkule |
| author_facet | Tanya Athavale Amita Athavale Abhishek Bairy Mahesh Jansari Sonal Karpe Mangesh Nagare Vinod Mutkule |
| author_sort | Tanya Athavale |
| collection | DOAJ |
| description | Pulmonary artery pseudoaneurysms are a rare but life-threatening cause of hemoptysis. These are saccular dilatations of the pulmonary artery which do not involve all the three layers of the vessel and are prone to rupture. PAPAs are most commonly associated with infections but may also be caused by vasculitis, lung fibrosis, pulmonary hypertension and a multitude of other causes. CT pulmonary angiography is the diagnostic modality of choice allowing delineation of the PAPA, underlying cause and allowing planning of further management. Although treating the underlying cause is an important part of management, endovascular intervention is required in cases with hemoptysis. Long COVID is an entity that is still under evaluation. It has multisystem involvement. We describe the case of a 30-year-old teacher with hemoptysis after COVID who was diagnosed with a PAPA of segmental branch of left upper lobar pulmonary artery and treated with endovascular embolization with coils and glue. His hemoptysis has stopped since then. He also had pulmonary fibrosis and growth of multidrug resistant Klebsiella pneumoniae in sputum. These were treated medically and he has resumed his work as a teacher. |
| first_indexed | 2024-12-10T04:43:35Z |
| format | Article |
| id | doaj.art-e84ebc689aa84d7bb6d757f72d34c83b |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-10T04:43:35Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-e84ebc689aa84d7bb6d757f72d34c83b2022-12-22T02:01:48ZengElsevierRespiratory Medicine Case Reports2213-00712022-01-0139101708Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coilingTanya Athavale0Amita Athavale1Abhishek Bairy2Mahesh Jansari3Sonal Karpe4Mangesh Nagare5Vinod Mutkule6Department of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, IndiaDepartment of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, India; Corresponding author.Department of Radiodiagnosiss, Seth G S Medical College and KEM Hospital, Mumbai, IndiaDepartment of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, IndiaDepartment of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, IndiaDepartment of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, IndiaDepartment of Pulmonary Medicine and Environmental Pollution Research Centre, Seth G S Medical College and KEM Hospital, Mumbai, IndiaPulmonary artery pseudoaneurysms are a rare but life-threatening cause of hemoptysis. These are saccular dilatations of the pulmonary artery which do not involve all the three layers of the vessel and are prone to rupture. PAPAs are most commonly associated with infections but may also be caused by vasculitis, lung fibrosis, pulmonary hypertension and a multitude of other causes. CT pulmonary angiography is the diagnostic modality of choice allowing delineation of the PAPA, underlying cause and allowing planning of further management. Although treating the underlying cause is an important part of management, endovascular intervention is required in cases with hemoptysis. Long COVID is an entity that is still under evaluation. It has multisystem involvement. We describe the case of a 30-year-old teacher with hemoptysis after COVID who was diagnosed with a PAPA of segmental branch of left upper lobar pulmonary artery and treated with endovascular embolization with coils and glue. His hemoptysis has stopped since then. He also had pulmonary fibrosis and growth of multidrug resistant Klebsiella pneumoniae in sputum. These were treated medically and he has resumed his work as a teacher.http://www.sciencedirect.com/science/article/pii/S2213007122001307Pulmonary artery pseudoaneurysmLong COVIDEndovascular coilingPulmonary fibrosis |
| spellingShingle | Tanya Athavale Amita Athavale Abhishek Bairy Mahesh Jansari Sonal Karpe Mangesh Nagare Vinod Mutkule Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling Respiratory Medicine Case Reports Pulmonary artery pseudoaneurysm Long COVID Endovascular coiling Pulmonary fibrosis |
| title | Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling |
| title_full | Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling |
| title_fullStr | Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling |
| title_full_unstemmed | Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling |
| title_short | Hemoptysis after COVID: Pulmonary artery pseudoaneurysm treated with endovascular coiling |
| title_sort | hemoptysis after covid pulmonary artery pseudoaneurysm treated with endovascular coiling |
| topic | Pulmonary artery pseudoaneurysm Long COVID Endovascular coiling Pulmonary fibrosis |
| url | http://www.sciencedirect.com/science/article/pii/S2213007122001307 |
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