HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sbano, H. Articles by Jackson, J. E. Search for Related Content PubMed PubMed Citation Articles by Sbano, H. Articles by Jackson, J. E. Social Bookmarking                      What's this?

Peripheral Pulmonary Artery Pseudoaneurysms and Massive Hemoptysis

Department of Imaging, Hammersmith Hospital, Du Cane Rd., London W12 0HS, England.

View larger version (189K): [in a new window]   Fig. 1A. —72-year-old man (patient 6) with right lower zone bronchiectasis. Control film from right inferior phrenic arteriogram shows area of ill-defined increased opacification in right lower zone.

View larger version (129K): [in a new window]   Fig. 1B. —72-year-old man (patient 6) with right lower zone bronchiectasis. Right inferior phrenic arteriogram shows hypertrophy of this artery and numerous transdiaphragmatic vessels, marked pulmonary artery opacification, and small oval peripheral pulmonary artery pseudoaneurysm (arrow).

View larger version (151K): [in a new window]   Fig. 2A. —65-year-old woman (patient 7) with left upper lobe tuberculosis. Control film from left third intercostal artery angiogram shows rounded area of soft-tissue opacity in left upper zone.

View larger version (113K): [in a new window]   Fig. 2B. —65-year-old woman (patient 7) with left upper lobe tuberculosis. Left third intercostal artery angiogram shows many small transpleural vessels arising from this artery with opacification of peripheral pulmonary artery branch and pseudoaneurysm (arrow).

View larger version (119K): [in a new window]   Fig. 3A. —63-year-old woman (patient 8) with left upper lobe mycetoma. Selective left upper intercostal arteriograms show small pseudoaneurysm (A) and adjacent peripheral pulmonary artery branches (B) filling via transpleural vessels (arrow).

View larger version (125K): [in a new window]   Fig. 3B. —63-year-old woman (patient 8) with left upper lobe mycetoma. Selective left upper intercostal arteriograms show small pseudoaneurysm (A) and adjacent peripheral pulmonary artery branches (B) filling via transpleural vessels (arrow).

View larger version (100K): [in a new window]   Fig. 3C. —63-year-old woman (patient 8) with left upper lobe mycetoma. Angiogram shows that catheter has been introduced into pulmonary artery branch immediately adjacent to pseudoaneurysm.

View larger version (143K): [in a new window]   Fig. 3D. —63-year-old woman (patient 8) with left upper lobe mycetoma. Control film shows that platinum microcoils have been packed within pseudoaneurysm.

View larger version (114K): [in a new window]   Fig. 3E. —63-year-old woman (patient 8) with left upper lobe mycetoma. Intercostal artery angiogram obtained after embolization shows occlusion of pseudoaneurysm.

View larger version (146K): [in a new window]   Fig. 4A. —34-year-old man (patient 5) with active pulmonary tuberculosis due to multidrug-resistant organism. Control film from right intercostobronchial trunk arteriogram shows large right-sided pleural effusion compressing underlying lung.

View larger version (131K): [in a new window]   Fig. 4B. —34-year-old man (patient 5) with active pulmonary tuberculosis due to multidrug-resistant organism. Right intercostobronchial trunk angiogram shows moderate hypertrophy of right bronchial artery and its branches and small pulmonary artery pseudoaneurysm in periphery of compressed upper lobe (arrow).

View larger version (143K): [in a new window]   Fig. 4C. —34-year-old man (patient 5) with active pulmonary tuberculosis due to multidrug-resistant organism. Platinum microcoils have been placed within pseudoaneurysm and in pulmonary artery branch from which it arises.

View larger version (110K): [in a new window]   Fig. 4D. —34-year-old man (patient 5) with active pulmonary tuberculosis due to multidrug-resistant organism. Selective right intercostobronchial trunk angiogram, obtained after embolization, confirms successful occlusion of pseudoaneurysm.

View larger version (116K): [in a new window]   Fig. 5A. —70-year-old man (patient 2) with postprimary tuberculosis and chronic obstructive pulmonary disease. Arterial (A) and delayed (B) images from selective left fourth intercostal artery angiograms show peripheral pulmonary artery pseudoaneurysm arising from upper lobe pulmonary artery branch (arrow).

View larger version (114K): [in a new window]   Fig. 5B. —70-year-old man (patient 2) with postprimary tuberculosis and chronic obstructive pulmonary disease. Arterial (A) and delayed (B) images from selective left fourth intercostal artery angiograms show peripheral pulmonary artery pseudoaneurysm arising from upper lobe pulmonary artery branch (arrow).

View larger version (149K): [in a new window]   Fig. 5C. —70-year-old man (patient 2) with postprimary tuberculosis and chronic obstructive pulmonary disease. Control film shows that pseudoaneurysm and peripheral pulmonary artery branch have been embolized with N-butyl-2-cyanoacrylate mixed with iodized oil (Lipiodol, Andre Guerbet).

View larger version (119K): [in a new window]   Fig. 5D. —70-year-old man (patient 2) with postprimary tuberculosis and chronic obstructive pulmonary disease. Selective left fourth intercostal artery angiogram obtained after embolization confirms successful occlusion of pseudoaneurysm.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati