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Post traumatic pulmonary pseudoaneurysm requiring pneumonectomy: a case report
Isaac L Theerman1, Mark Choi1, Aaron Fowler1
1Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA ;
Annals of Translational Medicine
|July 19, 2016
Summary
A rare large pseudoaneurysm, a vascular complication, was diagnosed in a patient with a history of chest trauma. This finding highlights the importance of considering pseudoaneurysms in trauma patients presenting with chest masses.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Chest trauma can lead to rare vascular complications.
- Pseudoaneurysms are abnormal dilatations of a blood vessel segment, often resulting from injury.
Observation:
- A 57-year-old male presented with dyspnea, cough, and hemoptysis.
- A large 27 cm × 20 cm right chest mass was identified on CT scan.
- The patient had a history of severe motor vehicle accident (MVA) chest trauma in 1981.
Findings:
- Initial workup raised concerns for a malignant process.
- Surgical resection revealed the mass to be a large pseudoaneurysm.
- Pseudoaneurysms are exceptionally rare following blunt chest trauma.
Implications:
- This case underscores the importance of considering pseudoaneurysms in the differential diagnosis of chest masses, especially in patients with a history of trauma.
- Early and accurate diagnosis is crucial for appropriate management and to avoid unnecessary aggressive treatments.
- Further research into the long-term sequelae and management strategies for traumatic pseudoaneurysms is warranted.
