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Ann Thorac Surg 2009;87:295-297. doi:10.1016/j.athoracsur.2008.05.061
© 2009 The Society of Thoracic Surgeons
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Kursad Oz
Recep Demirhan
Irfan Sancakli
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Case Reports

Pulmonary Artery Pseudoaneurysm After a Vascular Access Port Catheter Implantation

Kursad Oz, MD, Recep Demirhan, MD, Burak Onan, MD*, Irfan Sancakli, MD

Department of Thoracic Surgery, Dr Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey

Accepted for publication May 19, 2008.

* Address correspondence to Dr Onan, Department of Thoracic Surgery, Dr Lutfi Kirdar Kartal Research and Education Hospital, Semsi Denizer St, E–5 Karayolu Cevizli Mevkii, Istanbul, 34890-Kartal, Turkey (Email: burakonan{at}hotmail.com).

Pulmonary artery pseudoaneurysm is an unusual complication of surgically implantable central venous port catheters. We experienced a case of a 57-year-old man with gastric malignancy, in which a port catheter had been previously implanted for chemotherapy. Because of a puncture site that was also medial for the subclavian vein, the catheter tip fractured between the first rib and the clavicle, and embolized in the left pulmonary artery, which caused a 5 x 4 cm pseudoaneurysm that mandated surgical resection with a lobectomy. The diagnostic work-up and a review of the literature are presented.






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