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Ann Thorac Surg 1997;64:1478-1480
© 1997 The Society of Thoracic Surgeons

Case Report

Pulmonary Artery Pseudoaneurysm After Tube Thoracostomy

Francis J. Podbielski, MD, Irvin M. Wiesman, MD, Babak Yaghmai, MD, Charles A. Owens, MD, Enrico Benedetti, MD, Malek G. Massad, MD

Division of Cardiothoracic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois

Accepted for publication June 13, 1997.

Pulmonary artery pseudoaneurysm has been described as a complication of Swan-Ganz catheterization and right heart catheterization. Isolated cases of this condition occurring in blunt and penetrating chest trauma have been reported. In this communication, we describe the case of a patient with intracranial hemorrhage who required positive-pressure ventilation and in whom subsequent pneumothorax developed, necessitating tube thoracostomy. A persistent opacification of the lung field resulted in evaluation with computed chest tomography and color-flow Doppler ultrasonography. A pseudoaneurysm of the lingular segmental artery was identified and successfully obliterated by Gelfoam coil embolization.




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