Document Detail


Percutaneous stent-graft repair of a mycotic pulmonary artery pseudoaneurysm.
MedLine Citation:
PMID:  16565793     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ruptured mycotic pulmonary pseudoaneurysm is a lethal complication. Emergent surgical repair is usually recommended, but still associated with a high mortality rate. We present a patient in whom mycotic pulmonary pseudoaneurysm was a complication after surgical lobectomy 2 weeks earlier. This patient had suffered from repeated massive hemoptysis. After emergent surgical repair of the ruptured pulmonary artery stump, another episode of massive hemorrhage occurred. The pulmonary arteriogram revealed a segmental stenosis and a large, wide-necked, lobulated pseudoaneurysm at the left proximal pulmonary artery. We deployed a balloon-expandable stent-graft (48 mm in length mounted on a 12 mm x 40 mm angioplasty balloon) across the stenotic segment and the neck of the pulmonary pseudoaneurysm. Hemostasis was achieved immediately and, under a 4-week antibiotic treatment, patient was transferred to a local hospital for medical care. This case report demonstrates the benefit of minimally invasive endovascular therapy in a critically ill patient. A literature review of the etiology and management of mycotic pulmonary pseudoaneurysm is included.
Authors:
Mei-Chun Chou; Huei-Lung Liang; Huay-Ban Pan; Chien-Fang Yang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  890-2     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung 813, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / radiography,  therapy*
Aneurysm, Infected / drug therapy,  microbiology,  therapy*
Aneurysm, Ruptured / therapy*
Angioplasty, Balloon*
Blood Vessel Prosthesis Implantation*
Gram-Negative Bacterial Infections / complications,  drug therapy
Humans
Male
Middle Aged
Pulmonary Artery* / radiography
Staphylococcal Infections / complications,  drug therapy
Stenotrophomonas maltophilia
Stents*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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