Journal List > J Korean Soc Radiol > v.65(6) > 1087048

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Shin, Shin, and Yoon: Endovascular Thrombin Injection for a Pulmonary Artery Pseudoaneurysm: Case Report
Interventional Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 65(6): 573-576.

Published online: 31 December 2011

DOI: https://doi.org/10.3348/jksr.2011.65.6.573

Endovascular Thrombin Injection for a Pulmonary Artery Pseudoaneurysm: Case Report

Jin Ho Shin, MD, Ji Hoon Shin, MD, Hyun Ki Yoon, MD

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Corresponding author: Ji Hoon Shin, MD. Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea. Tel. 82-2-3010-4400, Fax. 82-2-476-4719, jhshin@amc.seoul.kr

Received 11 August 2011       Accepted 6 September 2011

Copyright © 2011 The Korean Society of Radiology

Abstract

Massive hemoptysis caused by pulmonary artery pseudoaneurysms is uncommon, and endovascular treatment such as coil embolization is the first choice for treating pulmonary artery pseudoaneurysms. Various embolic agents could be used according to the angiographic findings, yet embolization with thrombin injection is very rare. Herein, we describe a case of a pulmonary artery pseudoaneurysm that was successfully treated by endovascular thrombin injection using a microcatheter because of the difficulty in performing a coil embolization due to a short feeding artery.

Keywords: Pulmonary Artery Pseudoaneurysm, Thrombin, Embolization, Therapeutic

Figures and Tables

Fig. 1

A 72-year-old woman with pulmonary artery pseudoaneurysm.

A. A contrast-enhanced chest CT scan shows a small enhancing lesion within the consolidative right middle lung (arrow).
B, C. Axial and coronal CT images obtained at 2 weeks follow-up show a markedly enlarged enhancing lesion at the origin of right pulmonary artery (arrows).
D. Selective right pulmonary angiogram demonstrates approximately 2 cm pseudoaneurysm with a main draining vein.
E. A main draining vein was embolized with two microcoils, then 1,000 IU thrombin was injected.
F. Final pulmonary angiogram shows no visualization of the pseudoaneurysm.
G. Follow-up CT 1 month after the procedure shows coils in the draining vein, with disappearance of pseudoaneurysm.
jksr-65-573-g001

References

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