PMC7640539_01
(A and B) Chest x-ray pre and post-aneurysm coiling, showing the coils in the right lower lobe.
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A chest x-ray showed patchy areas of reticulation with ground-glass opacities in both lower lung zones and mild obliteration of the left costophrenic angle (Fig. 1).
(A and B) Computed tomography (CT) scans of the chest showing a right lower pulmonary artery aneurysm and multiple pulmonary nodules.
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Computed tomography (CT) of the chest revealed a 2.7x2.4 cm lobulated lesion in the right lower lung lobe, with an iso-dense attenuation to the contrast medium and apparent topographic continuity with the pulmonary vessels (Fig. 2).
(A and B) Digital subtraction pulmonary angiogram revealed right basal pulmonary artery focal aneurysmal dilatation, with subsequent insertion of coils within the aneurysm. A post coiling completion arteriogram revealed complete coiling of the right basal arteries.
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Coils (Interlock , Boston Scientific) were inserted into the aneurysm and stasis was achieved (Fig. 3).
The old infected prosthetic valve which was removed from the patient.
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The whole 29 mm prosthetic valve (Pericarbon More, Sorin Group) was removed along with the vegetations (Fig. 4) and replaced with a 27 mm biological valve (MOSIAC 310 CINCH, Medtronic).