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J Emerg Trauma Shock. 2011 Apr;4(2):313-6. doi: 10.4103/0974-2700.82235.

Pulmonary artery and vein pseudoaneurysm after gunshot wound to the chest.

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1
Department of Surgery, National Naval Medical Center, Bethesda, USA.

Abstract

Traumatic pulmonary artery or vein pseudoaneurysms are extremely rare and angiographic management is gaining grounds. These pseudoaneurysms are caused by both penetrating and blunt chest trauma. We presents a unique case of coexisted pulmonary vein and artery pseudoaneurysm due to penetrating chest trauma managed by angioembolization and inferior vena cava filter insertion for concomitant deep vein thrombosis (DVT) due to contraindication to anticoagulation. The present case represents only the second case of coexisted pulmonary vein and artery pseudoaneurysm and the first with associated DVT making management decision complicated.

KEYWORDS:

Chest trauma; coil embolization; gunshot wound; hemoptysis; pseudoaneurysm; pulmonary artery; pulmonary vein

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