Korean J Radiol.  2013 Apr;14(2):283-286. 10.3348/kjr.2013.14.2.283.

Endovascular Treatment of a Ruptured Pulmonary Artery Aneurysm in a Patient with Behcet's Disease Using the Amplatzer Vascular Plug 4

• Ianniello
• Carrafiello G
• Nicotera P
• Vaghi A
• Cazzulani

• KMID: 1482788
• DOI: http://doi.org/10.3348/kjr.2013.14.2.283

Abstract

A pulmonary artery aneurysm is a common manifestation and the leading cause of mortality in Behcet's disease. We describe a case of spontaneous rupture of a pulmonary artery aneurysm that, due to the inadequacy of medical therapy and the disadvantages of surgery, became the ideal candidate for endovascular management and was successfully performed by using the Amplatzer Vascular Plug 4.

Keyword

Behcet's disease; Pulmonary artery aneurysm; Hemoptysis; Embolization; Amplatzer Vascular Plug; Interventional radiology

MeSH Terms

Adult
Aneurysm, Ruptured/*radiography/*surgery
Behcet Syndrome/*complications
Humans
Iopamidol/analogs & derivatives/diagnostic use
Male
*Pulmonary Artery
Radiography, Thoracic
*Septal Occluder Device
Tomography, X-Ray Computed
Iopamidol

Figure

• 

  Fig. 1 Ruptured pulmonary artery aneurysm treated with Ampltazer Vascular Plug 4. A. Axial contrast-enhanced CT scan (lung window) shows aneurysm of left upper lobe pulmonary artery (arrow) accompanied by mural thrombus and surrounded by diffuse ground-glass opacity at upper left pulmonary lobe, which is suggestive of hemorrhage. B. Coronal maximum-intensity-projection CT image depicts left pulmonary artery aneurysms at level of upper lobe (arrow). C. Left pulmonary angiography via right femoral vein on anteroposterior (AP) projection demonstrates aneurysm at upper lobe pulmonary artery. D. Post-embolization pulmonary angiography on AP projection shows Amplatzer Vascular Plug 4 (AVP 4) with no further filling of aneurysmal sac. E. Chest radiograph demonstrates partial resolution of left upper lobe alveolar-type opacity (still recognizable), presence of AVP 4 (arrow), and coils (arrowheads) due to previous treatment.

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