Subclavian artery aneurysm: A rare cause of massive haemoptysis

Alireza Nathani, Shekhar Ghamande, Juan F. Sanchez, Heath D. White

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A 35-year-old man was admitted to the intensive care unit with massive haemoptysis. CT of the chest revealed a necrotic right upper lobe mass. Angiography of his thoracic vasculature revealed a pseudoaneurysm in the right subclavian artery with active contrast extravasation. This anatomic deformity was stented and coiled with the assistance of interventional radiology. Bronchoscopy with lavage and brushings of the right upper lobe mass revealed fungal hyphae and positive galactomannan, supporting that the patient developed invasive pulmonary aspergillosis leading to a mycotic pseudoaneurysm of the right subclavian artery followed by massive haemoptysis.

Original languageEnglish (US)
Article numbere241225
JournalBMJ case reports
Volume14
Issue number3
DOIs
StatePublished - Mar 9 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 BMJ Publishing Group. All rights reserved.

Keywords

  • adult intensive care
  • pneumonia (respiratory medicine)

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