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Treatment of a large pulmonary artery pseudoaneurysm secondary to fungal infection using Amplatzer plugs: New embolisation devices for the management of haemoptysis.

Chellamuthu S, Bottomley JR - Respir Med Case Rep (2011)

Bottom Line: Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon.We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs.The technical considerations and advantages of these new devices are explained.

View Article: PubMed Central - PubMed

Affiliation: Sheffield Vascular Institute, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, Herries Rd, S57AU, Sheffield, United Kingdom.

ABSTRACT
Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon. Most are caused by trauma, iatrogenic injury or infection. We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs. The technical considerations and advantages of these new devices are explained.

No MeSH data available.


Related in: MedlinePlus

Follow up chest x-ray shows volume loss of the right upper lobe with shift of the trachea to the right. The Amplatzer plugs are seen in the right upper zone and are unchanged in position. An incidental air fluid level is noted within the hiatus hernia. The patient’s symptoms had resolved completely.
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fig5: Follow up chest x-ray shows volume loss of the right upper lobe with shift of the trachea to the right. The Amplatzer plugs are seen in the right upper zone and are unchanged in position. An incidental air fluid level is noted within the hiatus hernia. The patient’s symptoms had resolved completely.

Mentions: Following embolisation and commencement of antifungal agents there was immediate rapid resolution of haemoptysis and within two days, resolution of pyrexia. A follow up chest x-ray at 8 weeks showed continued satisfactory resolution of the consolidative changes with some right upper lobe volume loss. The Amplatzer plugs were noted to be unchanged in position (Fig. 5).


Treatment of a large pulmonary artery pseudoaneurysm secondary to fungal infection using Amplatzer plugs: New embolisation devices for the management of haemoptysis.

Chellamuthu S, Bottomley JR - Respir Med Case Rep (2011)

Follow up chest x-ray shows volume loss of the right upper lobe with shift of the trachea to the right. The Amplatzer plugs are seen in the right upper zone and are unchanged in position. An incidental air fluid level is noted within the hiatus hernia. The patient’s symptoms had resolved completely.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150616&req=5

fig5: Follow up chest x-ray shows volume loss of the right upper lobe with shift of the trachea to the right. The Amplatzer plugs are seen in the right upper zone and are unchanged in position. An incidental air fluid level is noted within the hiatus hernia. The patient’s symptoms had resolved completely.
Mentions: Following embolisation and commencement of antifungal agents there was immediate rapid resolution of haemoptysis and within two days, resolution of pyrexia. A follow up chest x-ray at 8 weeks showed continued satisfactory resolution of the consolidative changes with some right upper lobe volume loss. The Amplatzer plugs were noted to be unchanged in position (Fig. 5).

Bottom Line: Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon.We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs.The technical considerations and advantages of these new devices are explained.

View Article: PubMed Central - PubMed

Affiliation: Sheffield Vascular Institute, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, Herries Rd, S57AU, Sheffield, United Kingdom.

ABSTRACT
Pulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon. Most are caused by trauma, iatrogenic injury or infection. We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs. The technical considerations and advantages of these new devices are explained.

No MeSH data available.


Related in: MedlinePlus