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J Thorac Cardiovasc Surg 2004;128:784-785
© 2004 The American Association for Thoracic Surgery

Brief communication

Endovascular coil embolization for acute management of traumatic pulmonary artery pseudoaneurysm

^a Department of Surgery, Ralph H. Johnson VA Medical Center, Charleston, SC, USA
^b Department of Surgery, Medical University of South Carolina, Charleston, SCUSA,
^c Department of Radiology, Medical University of South Carolina, Charleston, SC, USA

Received for publication January 27, 2004; revisions received March 4, 2004; accepted for publication March 22, 2004.

^* Address for reprints: Mark Block, MD, Division of Cardiothoracic Surgery, 96 Jonathan Lucas St, 409 CSB, Medical University of South Carolina, Charleston, SC 29425, USA
blockm@musc.edu

The first 20% of the full text of this article appears below.

Clinical summary

A 40-year-old woman with a history of depression presented with a self-inflicted gunshot wound to the left side of the chest. On arrival, she was alert and hemodynamically stable. An entrance and an exit wound were identified on the anterior and posterior chest, and there were no breath sounds on the left. A chest tube was placed and immediately drained of 360 mL of fresh blood. A chest x-ray film showed multiple rib fractures and opacification of the left side of the chest without mediastinal shift. Chest computed tomography (CT) with intravenous contrast showed extensive pulmonary contusion and consolidation, a small pleural effusion, a path of lung parenchymal destruction consistent with a bullet track, and 3 distinct areas of well-defined increased attenuation along the track suggestive of hemorrhage (Figure 1). The patient remained hemodynamically stable, and chest tube output was less than 100 mL/h, but she had occasional hemoptysis of fresh blood. Chest CT . . . [Full Text of this Article]

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				M. Kalina and F. Giberson Hemoptysis Secondary to Pulmonary Artery Pseudoaneurysm After Necrotizing Pneumonia Ann. Thorac. Surg., October 1, 2007; 84(4): 1386 - 1387. [Abstract] [Full Text] [PDF]