Pulmonary artery pseudoaneurysm after MRSA septicemia in a pediatric patient


      We document a previously unreported case of a pulmonary artery pseudoaneurysm (PAP) that developed in a pediatric patient initially presenting with Methicillin-resistant Staphylococcus aureus hip joint sepsis. This is the first reported case of PAP of infectious origin in a pediatric patient, and this case is unique as the evolution of the PAP was documented by computed tomography.

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        • Nguyen E.T.
        • Silva C.I.
        • Seely J.M.
        • et al.
        Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and angiography.
        AJR Am J Roentgenol. 2007; 188: W126-W134
        • Yellin L.B.
        • Filler J.J.
        • Barnette R.E.
        Nominal hemoptysis heralds pseudoaneurysm induced by a pulmonary artery catheter.
        Anesthesiology. 1991; 74: 370-373
        • Ramakrishnan S.
        • Kothari S.S.
        • Sharma S.
        Massive left pulmonary artery pseudoaneurysm in a young child.
        JACC Cardiovasc Interv. 2010; 3: 362-363
        • Chung C.X.
        • Doherty J.U.
        • Kotler R.
        • et al.
        Pulmonary artery aneurysm presenting as a lung mass.
        Chest. 1995; 108: 1164-1166
        • Auerbach O.
        Pathology and pathogenesis of pulmonary arterial pseudoaneurysm in tuberculous cavities.
        Am Rev Tuberc. 1939; 39: 99-115
        • Souders C.R.
        • Smith A.T.
        The clinical significance of hemoptysis.
        N Engl J Med. 1952; 247: 790-793
        • Fraser R.S.
        • Müller N.L.
        • Colman N.
        • et al.
        Pulmonary hypertension and edema.
        in: Fraser S. Müller N.L. Colman N. Paré P.D. Diagnosis of diseases of the chest. Saunders, Philadelphia, PA1999: 1935-1937
        • Ichimura H.
        • Okazaki H.
        • Kikuchi K.
        • et al.
        A pseudoaneurysmal cyst in the pulmonary artery secondary to lung suppuration.
        J Thorac Cardiovasc Surg. 2007; 133: 1678-1679
        • Bowler R.P.
        • Durham J.
        • Schwarz M.I.
        Massive hemoptysis from a pulmonary artery aneurysm associated with an emphysematous bulla.
        Chest. 1998; 113: 1130-1131
        • Kalina M.
        • Giberson F.
        Hemoptysis secondary to pulmonary artery pseudoaneurysm after necrotizing pneumonia.
        Ann Thorac Surg. 2007; 84: 1386-1387
        • Shin T.B.
        • Yoon S.K.
        • Lee K.N.
        • et al.
        The role of pulmonary CT angiography and selective pulmonary angiography in endovascular management of pulmonary artery pseudoaneurysms associated with infectious lung diseases.
        J Vasc Interv Radiol. 2007; 18: 882-887
        • Kierse R.
        • Jensen U.
        • Helmberger H.
        • et al.
        Value of multislice CT in the diagnosis of pulmonary artery pseudoaneurysm from Swan–Ganz catheter placement.
        J Vasc Interv Radiol. 2004; 15: 1133-1137
        • Shin S.
        • Shin T.B.
        • Choi H.
        • et al.
        Peripheral pulmonary arterial pseudoaneurysms: therapeutic implications of endovascular treatment and angiographic classifications.
        Radiology. 2010; 256: 656-664
        • Sridhar S.K.
        • Sadler D.
        • McFadden S.D.
        • et al.
        Percutaneous embolization of an angiographically inaccessible pulmonary artery pseudoaneurysm after blunt chest trauma: a case report and review of the literature.
        J Trauma. 2010; 69: 729
        • Lee J.C.
        • Walters D.L.
        • Slaughter R.E.
        Angioembolisation of pulmonary artery pseudoaneurysm arising in H1N1 influenza viral pneumonia.
        Heart Lung Circ. 2011; 20: 599-601
        • Chou M.C.
        • Liang H.L.
        • Pan H.B.
        • Yang C.F.
        Percutaneous stent-graft repair of a mycotic pulmonary artery pseudoaneurysm.
        Cardiovasc Intervent Radiol. 2006; 29: 890-892
        • Khalil A.
        • Parrot A.
        • Fartoukh M.
        • et al.
        Pulmonary artery occlusion with ethylene vinyl alcohol copolymer in patients with hemoptysis: initial experience in 12 cases.
        AJR Am J Roentgenol. 2012; 198: 207-212
        • Fernando H.C.
        • Stein M.
        • Benfield J.R.
        • et al.
        Role of bronchial artery embolization in the management of hemoptysis.
        Ach Surg. 1998; 133: 862-866