Pulmonary artery pseudoaneurysm after a vascular access port catheter implantation

Ann Thorac Surg. 2009 Jan;87(1):295-7. doi: 10.1016/j.athoracsur.2008.05.061.

Abstract

Pulmonary artery pseudoaneurysm is an unusual complication of surgically implantable central venous port catheters. We experienced a case of a 57-year-old man with gastric malignancy, in which a port catheter had been previously implanted for chemotherapy. Because of a puncture site that was also medial for the subclavian vein, the catheter tip fractured between the first rib and the clavicle, and embolized in the left pulmonary artery, which caused a 5 x 4 cm pseudoaneurysm that mandated surgical resection with a lobectomy. The diagnostic work-up and a review of the literature are presented.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Angiography
  • Catheterization / adverse effects*
  • Catheters, Indwelling / adverse effects*
  • Chemotherapy, Adjuvant
  • Combined Modality Therapy
  • Equipment Failure
  • Follow-Up Studies
  • Foreign-Body Migration / diagnosis*
  • Foreign-Body Migration / surgery
  • Humans
  • Male
  • Middle Aged
  • Pneumonectomy / methods
  • Pulmonary Artery*
  • Risk Assessment
  • Stomach Neoplasms / drug therapy
  • Stomach Neoplasms / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Surgical Procedures / methods