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Published on: November 4, 2015
Hemoptysis secondary to pulmonary pseudoaneurysm 30 years after a gunshot wound
C Savage1, J B Zwischenberger, K C Ventura
1Department of Surgery, The University of Texas Medical Branch, Galveston, USA.
Abstract:
A 49-year-old man presented with intermittent hemoptysis from a traumatic pulmonary artery pseudoaneurysm 30 years following a thoracic gunshot wound. The patient was asymptomatic for 28.5 years, when he began experiencing recurrent hemoptysis, chest pain, and a cough. A left lower lobe mass on chest x-ray film was investigated with contrast-enhanced computed tomography and pulmonary angiogram confirming a 1.5-cm pseudoaneurysm. Intraluminal coil embolization was attempted, but a left lower lobectomy was ultimately necessary to treat persistent hemoptysis.
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