Images in Intensive Medicine
Child with leukemia and symptomatic pulmonary pseudoaneurysm subjected to catheterization
Niño con leucemia y pseudoaneurisma pulmonar sintomático tratado por cateterismo
R.E. Ríos-Mèc)ndez
, M.L. Freire-Astudillo, M.E. Aráuz-Martínez
Corresponding author
Hospital Pediátrico Baca Ortiz, Quito, Ecuador
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Ríos-Mèc)ndez, M.L. Freire-Astudillo, M.E. Aráuz-Martínez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "R.E." "apellidos" => "Ríos-Mèc)ndez" "email" => array:1 [ 0 => "riosmendez@intramed.net.ar" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.L." "apellidos" => "Freire-Astudillo" ] 2 => array:2 [ "nombre" => "M.E." "apellidos" => "Aráuz-Martínez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Pediátrico Baca Ortiz, Quito, Ecuador" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Niño con leucemia y pseudoaneurisma pulmonar sintomático tratado por cateterismo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 633 "Ancho" => 1401 "Tamanyo" => 106307 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Post-procedure angiography. Look at the permeability of the pulmonary vessels distal to the device (arrow). (B) Control CT scan (6th month). 3D reconstruction showing occlusion of pulmonary artery pseudoaneurysm (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 12 year-old patient with non-suffocating hemoptysis, with a history of acute lymphoblastic leukemia receiving chemotheraphy and pneumonia a month earlier. Pulmonary CT showed a pulmonary artery pseudoaneurysm (PAP) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). By femoral venous approach, we performed several angiographic projections (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) and implanted in the neck of the PAP an occluder device of ductus arteriosus, Amplatzer Duct Occluder⢢ (St. Jude Medical) 10<span class="elsevierStyleHsp" style=""></span>í<span class="elsevierStyleHsp" style=""></span>8, leaving initial minimal residual flow (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). At the sixth month the CT scan showed total occlusion of the PAP and permeability of the compromised pulmonary vessel (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B). Hospital discharge: 48<span class="elsevierStyleHsp" style=""></span>h. Follow-up: 18 months. The percutaneous treatment of PAP is safe and effective, and may prevent surgery that may require lobectomy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 651 "Ancho" => 1401 "Tamanyo" => 157285 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Initial CT scan. 3D reconstruction showing the pulmonary artery pseudoaneurysm (arrow) in the right interlobar artery of 25<span class="elsevierStyleHsp" style=""></span>í<span class="elsevierStyleHsp" style=""></span>22<span class="elsevierStyleHsp" style=""></span>mm with short neck and ostium of 7.8<span class="elsevierStyleHsp" style=""></span>mm in diameter. 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