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Vol. 46. Issue 7.
Pages 418-419 (July 2022)
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Vol. 46. Issue 7.
Pages 418-419 (July 2022)
Images in Intensive Medicine
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Iatrogenic pulmonary pseudoaneurysm rupture following thoracic drainage
Rotura de pseudoaneurisma pulmonar iatrogénico tras drenaje torácico
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M.J. Marco Escotoa,
Corresponding author
manuelmarcoescoto@gmail.com

Corresponding author.
, M.L. Navarrete Rebolloa, M.J. Prieto Bragadoa, J.D. Alvarado Ramírezb, I. Fernández Lópeza, J.M. Carrasco Bareaa
a Servicio de Medicina Intensiva, Hospital Marina Baixa, La Vila Joiosa, Alicante, Spain
b Servicio de Radiología, Hospital Marina Baixa, La Vila Joiosa, Alicante, Spain
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A 75-year-old woman and ex-smoker was admitted to the ICU due to respiratory failure secondary to pneumonia. The clinical course proved torpid, with the development of acute respiratory distress syndrome and the need for prolonged mechanical ventilation. Weaning was complicated by the appearance of bilateral pleural effusion, requiring the ultrasound-guided placement of a pleural drain (Pleurocath® 12 French). After 30 min, the patient developed severe hypotension, perspiration and paleness. Following initial stabilization, a chest CT scan was requested, evidencing right hemothorax and a rounded image suggestive of a pseudoaneurysm of the peripheral pulmonary circulation (Fig. 1). After consulting Interventional Radiology, the decision was made to perform pulmonary angiography, which confirmed the existence of an arterial pseudoaneurysm arising from a branch of the right descending lobar artery (Fig. 2). Coil embolization was performed (Fig. 3), followed by a good course, and the patient was discharged to the ward without complications.

Figure 1
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Figure 2
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Figure 3
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There was no source of funding.

Please cite this article as: Marco Escoto MJ, Navarrete Rebollo ML, Prieto Bragado MJ, Alvarado Ramírez JD, Fernández López I, Carrasco Barea JM. Rotura de pseudoaneurisma pulmonar iatrogénico tras drenaje torácico. Med Intensiva. 2022;46:418–419.

Copyright © 2022. Elsevier España, S.L.U. and SEMICYUC
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