Embolisation of an iatrogenic pulmonary artery pseudoaneurysm

A 62-year-old woman with idiopathic cardiomyopathy and class IIIB/stage C heart failure sustained right pulmonary artery injury from a Swan-Ganz catheter during a pretransplant work up. Postprocedure, it was noted that the patient's segmental pulmonary artery catheter was wedged for an unclear...

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Bibliographic Details
Published in:BMJ case reports 2015-10, Vol.2015, p.bcr2015212555
Main Authors: Petersen, Matthew G, Brinegar, Katelyn, Oklu, Rahmi
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
Cardiomyopathy
Catheterization, Swan-Ganz - adverse effects
Catheters
Embolization, Therapeutic
Family medical history
Female
Heart failure
Humans
Iatrogenic Disease
Medical imaging
Middle Aged
Mortality
Pulmonary arteries
Pulmonary Artery
Pulmonary hypertension
Radiography
Rare Disease
Tumors
USA/Canada
Veins & arteries
White
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Summary:A 62-year-old woman with idiopathic cardiomyopathy and class IIIB/stage C heart failure sustained right pulmonary artery injury from a Swan-Ganz catheter during a pretransplant work up. Postprocedure, it was noted that the patient's segmental pulmonary artery catheter was wedged for an unclear period of time. The patient developed a small volume of blood-tinged sputum and a chest CT revealed a 1.3 cm pseudoaneurysm in the right middle lobe medial segment pulmonary artery and a small area of haemorrhage. The patient underwent pulmonary artery preserving coil embolisation of the pseudoaneurysm to prevent further right heart strain, given an ejection fraction of 20%, which resolved haemoptysis. Imaging studies showed preserved distal outflow and no evidence of residual pseudoaneurysm filling.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2015-212555