Percutaneous Embolization of a Pulmonary Vein Pseudoaneurysm Secondary to Vascular Erosion of a Metastatic Mass

Cardiovasc Intervent Radiol. 2018 Sep;41(9):1440-1443. doi: 10.1007/s00270-018-1977-1. Epub 2018 May 4.

Abstract

Fifty-two-year-old female with high-grade undifferentiated pleomorphic left thigh sarcoma and bilateral metastatic soft tissue lesions to the lungs consistent with metastases, presented with recurrent, anemia, and worsening hemoptysis. Cross-sectional imaging demonstrated erosion of a right lower lobe metastatic mass into an adjacent right inferior lower lobe pulmonary vein with formation of a pseudoaneurysm. We report the successful treatment of this pseudoaneurysm via direct image-guided percutaneous access with subsequent coil embolization.

Keywords: Embolization; Oncology; Pseudoaneurysm; Pulmonary angiogram.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / complications
  • Aneurysm, False / therapy*
  • Computed Tomography Angiography / methods*
  • Embolization, Therapeutic / methods*
  • Female
  • Humans
  • Lung Neoplasms / complications
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / secondary*
  • Middle Aged
  • Pulmonary Veins / diagnostic imaging*
  • Sarcoma / pathology*