Document Type
Article
Publication Date
12-1-2023
Publication Title
Trauma Case Reports
Volume
48
First page number:
1
Last page number:
4
Abstract
Traumatic pulmonary artery pseudoaneurysms (PAP) are rare findings and are often associated with penetrating trauma to the chest. We present a case of a pulmonary artery pseudoaneurysm following blunt trauma. A 49-year-old man presented after a motor vehicle collision. Contrast enhanced computed tomography scans of the neck, chest, abdomen, and pelvis were obtained demonstrating a proximal right pulmonary artery pseudoaneurysm, small volume hemopericardium, left first rib fracture, and focal non-flow limiting dissection of left subclavian artery. For the management of right PAP, we adopted a non-operative management strategy with an esmolol infusion for strict heart rate and blood pressure control. An echocardiogram was obtained the next day revealing no cardiac tamponade. Angiography of the chest was done after 24 h which showed stable appearance of the right PAP and hemopericardium. Patient was discharged home on hospital day 11.
Keywords
Pulmonary artery pseudoaneurysm; Aneurysm; Blunt trauma; Motor vehicle crash; Case report
Disciplines
Trauma
File Format
File Size
2500 KB
Language
English
Rights
IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Repository Citation
Feery, D. A.,
Kuruvilla, K.,
McNickle, A. G.,
Fraser, D. R.
(2023).
Non-Operative Management Strategy for Blunt Pulmonary Artery Pseudoaneurysm: A Case Report.
Trauma Case Reports, 48
1-4.
Available at:
http://dx.doi.org/10.1016/j.tcr.2023.100954