PMC4007305_01
Chest radiogram from 25.09.2012 (A-P position). Suspected changes imitating atelectasis or inflammation of rear base segments of the right lung (white arrows)
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F0001
On the 25th of September 2012, control chest radiography (Figure 1) showed atelectasis or inflammation of rear base segments of the right lung.
Chest radiogram from 02.10.2012 (A-P position). Circular shadow with a diameter of 26 mm is present in the place of previously described parenchymal changes (white arrows).
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F0002
On the 2nd of October 2012 chest radiography was performed again (Figure 2).
Transverse section of chest computed tomography confirms the presence of pseudoaneurysm in the right lung (white arrow)
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F0003
Finally, computed tomography revealed a pseudoaneurysm of the right inferior lobe supplied by a subsegmental artery (Figure 3).
Introduction of catheter via right femoral vein. Fluoroscopy of chest shows again the location of round mass corresponding to pseudoaneurysm (white arrows)
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F0004
The subsegmental pulmonary artery branch was cannulated with a Cournand type 6 Fr catheter (Figure 4).
A - Dye injection shows pulmonary artery rupture and arterial blood leakage (white arrow) with creation of pseudoaneurysm. B - The metal coil (white arrow) is formed in the perforated artery occluding the feeding artery
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F0005
The angiogram 5 min after the implantation showed complete closure of the feeding artery (Figure 5).
Chest radiogram from 19.10.2012 (A-P position) shows allocation of the metal coil (white arrow) and slight size reduction of the pseudoaneurysm
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F0006
On the 19th of October 2012, control postoperative chest radiography showed the vascular coil in position (Figure 6).