Rokni Hadi, Nourizadeh Amir Mohammad, Sarmadi Bahareh, Rouhezamin Mohammad Reza
Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Science, Tohid Square, Tehran, 1416753955, Iran.
Chronic Respiratory Disease Research Center, National Research Institution of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, 1956944413, Iran.
Radiol Case Rep. 2022 Aug 1;17(10):3694-3698. doi: 10.1016/j.radcr.2022.06.087. eCollection 2022 Oct.
Peripheral pulmonary artery aneurysm (PAA), being a rare condition, is considered extremely rare following coronavirus disease 2019 (COVID-19). We present a 58-year-old male who presented with fever, malaise, and dry cough. SARS-CoV-RNA transcription-mediated amplification test was positive for the patient. After 2 days, he developed hemoptysis and back pain, and a CT scan revealed a pulmonary aneurysm, evidence of alveolar hemorrhage, and Necrotizing pneumonia. He was scheduled for pulmonary artery angiography. The angiography confirmed a fusiform aneurysm and partial coiling of the aneurysmal sac, and indoor and backdoor embolization was performed. In the follow-up, a CT scan showed complete thrombosis of the aneurysmal sac, and the patient was free of symptoms. Peripheral PAAs can show a variety of symptoms. They can even be asymptomatic. The infectious pathologies of this condition are less common than the other. COVID-19 is an extremely rare pathology. To the best of our knowledge, this is the first case of necrotizing pneumonia and peripheral PPA in an adult. Moreover, it was followed by COVID-19. A vital takeaway note for physicians is to consider PAAs as a complication when treating COVID-19 patients who don't show signs of improvement or even show signs of exacerbation.
外周肺动脉瘤（PAA）是一种罕见疾病，在2019冠状病毒病（COVID - 19）之后被认为极为罕见。我们报告一名58岁男性，他出现发热、乏力和干咳症状。该患者的严重急性呼吸综合征冠状病毒核糖核酸转录介导扩增检测呈阳性。两天后，他出现咯血和背痛，CT扫描显示有肺动脉瘤、肺泡出血迹象和坏死性肺炎。他被安排进行肺动脉血管造影。血管造影证实为梭形动脉瘤且动脉瘤囊部分盘绕，并进行了经皮和经导管栓塞术。在随访中，CT扫描显示动脉瘤囊完全血栓形成，患者无症状。外周PAA可表现出多种症状，甚至可能无症状。这种疾病的感染性病理情况比其他情况少见。COVID - 19是一种极为罕见的病理情况。据我们所知，这是首例成人坏死性肺炎合并外周PAA且继发于COVID - 19的病例。此外，对于医生来说一个重要的注意点是，在治疗没有改善迹象甚至有病情加重迹象的COVID - 19患者时，要将PAA视为一种并发症。
