Pulmonary Venous Aneurysm Coiling for Hemoptysis via Known Patent Foramen Ovale

An 83-year-old female presented with hemoptysis and chronic hypoxic respiratory failure complicated by stenotrophomonas infection. A computed tomography angiogram demonstrated a large cavitary lesion in the right upper lobe with a pseudoaneurysm measuring 2.1  × 1.7 cm (Fig 1). Pulmonary angiography demonstrated a right upper lobe pseudoaneurysm (2.6 × 2.3 cm; Fig 2a) arising from the pulmonary vein. The feeding branch of the right upper lobe pulmonary artery was coil embolized with 1 Azur (Terumo) and 4 Ruby (Penumbra) detachable coils (Fig 2b).

Source: Journal of Vascular and Interventional Radiology : JVIR - January 21, 2021 Category: Radiology Authors: John D. Mayfield, Christine M.G. Schammel, Jonathan R. Hinshelwood, A. Michael Devane Tags: Extreme IR Source Type: research