Ierardi A M, Xhepa G, Musazzi A M, De Chiara M, Beghi C, Carrafiello G
Interventional Radiology, Department of Radiology, Insubria University, Varese, Italy.
Cardiac Surgery Department, Department of Radiology, Insubria University, Varese, Italy.
BJR Case Rep. 2015 Jul 29;1(3):20150064. doi: 10.1259/bjrcr.20150064. eCollection 2015.
We present a case report of an anticoagulated 78-year old man presenting a pulmonary artery pseudoaneurysm following Swan-Ganz catheter deployment after an aortic valve and aortic root replacement. Diagnosis was established by cone beam CT angiography and catheter angiographyand embolisation was achieved via a combination of plug and glue. This case emphasises the importance of endovascular techniques in the management of iatrogenic pulmonary pseudoaneurysms and shows the benefit of using highly hemostatic polymeric agent in anticoagulated patients to obtain a rapid and effective occlusion.
我们报告一例78岁接受抗凝治疗的男性病例，该患者在主动脉瓣和主动脉根部置换术后置入Swan-Ganz导管后出现肺动脉假性动脉瘤。通过锥形束CT血管造影和导管血管造影确诊，并通过封堵器和胶水联合使用实现了栓塞。该病例强调了血管内技术在医源性肺假性动脉瘤管理中的重要性，并显示了在抗凝患者中使用高止血性聚合物制剂以实现快速有效封堵的益处。
