Incidental diagnosis and therapeutic approach of an iatrogenic intra-parenchymal pulmonary intercostal artery pseudoaneurysm: a case report

  • Giovanni Rossi Department of Radiology, Monaldi Hospital, Naples, Italy.
  • Mario Perrillo Department of Diagnostic and Interventional Radiology, San Paolo Hospital, Department of Health Science, University of Milan, Italy.
  • Martina Flora Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Adriano Costigliola Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Mariano Mollica Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Carlo Iadevaia Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Giampiero Gaio Adult Congenital Heart Disease Unit, Monaldi Hospital, Naples, Italy.
  • Francesco S. Cerqua Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Andrea Bianco Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Naples, Italy.
  • Fabio Perrotta | fabio.perrotta@unimol.it Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, Italy.

Abstract

Intercostal artery pseudoaneurysms (IAP) are extremely rare but its sudden rupture represents a life-threatening complication. We report an unusual case of a late intercostal artery pseudoaneurysm, after a video-assisted thoracoscopic surgery, presenting as a large intra-parenchymal lung mass. Diagnosis was made by biphasic computed tomography angiography and contrast-enhanced pulsed-wave doppler ultrasound. To minimize the risk of aneurysm bleeding immediate angiographic embolization was planned and successfully performed.IAP should be considered in presence of lung mass in patients who have previously undergone an intervention with intercostal approach to prevent life-threatening complications.

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Published
2019-08-30
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Issue
Section
Pneumology - Case Reports
Keywords:
Intercostal artery pseudoaneurysm, iatrogenic pseudoaneurysm, embolization, CT angiography
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How to Cite
Rossi, G., Perrillo, M., Flora, M., Costigliola, A., Mollica, M., Iadevaia, C., Gaio, G., Cerqua, F. S., Bianco, A., & Perrotta, F. (2019). Incidental diagnosis and therapeutic approach of an iatrogenic intra-parenchymal pulmonary intercostal artery pseudoaneurysm: a case report. Monaldi Archives for Chest Disease, 89(3). https://doi.org/10.4081/monaldi.2019.1094

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