Advertisement

Pulmonary artery pseudoaneurysm after MRSA septicemia in a pediatric patient

      Abstract

      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.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • 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