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BMJ Case Reports 2013; doi:10.1136/bcr-2012-008205
  • CASE REPORT

Innovative endovascular technique for treatment of rare cause of haemoptysis in young

  1. Subash Chandra3
  1. 1Department of Cardiology, MH (CTC), Pune, Maharashtra, India
  2. 2Department of Pulmonology, Base Hospital, Delhi, Delhi, India
  3. 3Department of Cardiology, Manipal Hospital, Bangalore, Karnataka, India
  1. Correspondence to Professor Davinder Chadha, agiamu{at}gmail.com

Summary

A 17-year-old boy reported for evaluation of two episodes of massive haemoptysis. His clinical examination was unremarkable and investigations (haemogram, coagulogram, serological tests for connective tissue disorders) were normal. A 64-slice CT angiography revealed a saccular aneurysm of 3.8×3.7×3.3 cm arising from the right lower lobe pulmonary artery which was confirmed by cardiac catheterisation. The aneurysm was successfully blocked with a 16–14 Amplatzer duct occluder. A repeat CT angiogram performed after 15 days revealed the device in situ obliterating the aneurysm. Pulmonary artery aneurysm is an extremely rare cause of massive haemoptysis and indicates imminent rupture of the aneurysm which can be rapidly fatal. This case highlights the importance of using an innovative endovascular technique for treatment of a rare cause of haemoptysis.

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