Pulmonary artery pseudoaneurysm secondary to COVID-19 treated with endovascular embolisation.
subject: covid-19, LMWH (low molecular weight heparin), Haemoptysis, embolisation, CT computed tomography, pulmonary artery, pseudoaneurysm, CTPA, computed tomography pulmonary angiogram, PAP, pulmonary artery pseudoaneurysm
description: Pulmonary artery pseudoaneurysms are uncommon and can cause severe, life-threatening haemoptysis. We present a case of a 74-year-old gentleman who was being treated for COVID-19 pneumonitis and a concomitant segmental pulmonary artery thrombus with conventional treatment and anticoagulation. The patient developed significant haemoptysis during admission. A repeat computed tomography pulmonary angiogram revealed an 8 mm left upper lobe pulmonary artery pseudoaneurysm. Anticoagulation was withheld and the pseudoaneurysm was successfully treated with endovascular embolisation with an Amplatzer® IV plug, leading to resolution of the haemoptysis. To our knowledge this is the first case of a pulmonary artery pseudoaneurysm secondary to COVID-19.
creator: Priyesh Karia, Vishnu Naidu, Ayyaz Quddus, Wen Ling Woo, Neil Davies, Ruhaid Khurram
source: European journal of radiology open
date: 2021