Pulmonary artery pseudoaneurysm secondary to COVID-19 treated with endovascular embolisation.
covid-19, LMWH (low molecular weight heparin), Haemoptysis, embolisation, CT computed tomography, pulmonary artery, pseudoaneurysm, CTPA, computed tomography pulmonary angiogram, PAP, pulmonary artery pseudoaneurysm
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.
Priyesh Karia, Vishnu Naidu, Ayyaz Quddus, Wen Ling Woo, Neil Davies, Ruhaid Khurram