Case Report


A rare cause of pulmonary artery pseudoaneurysm: A case report

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1 Radiology Department, Mohamed the Fifth Military Instruction Hospital, Mohamed V University, Rabat, Morocco

2 Cardiology Department, Mohamed the Fifth Military Instruction Hospital, Mohamed V University, Rabat, Morocco

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Asaad El Bakkari

Radiology Department, Mohamed the Fifth Military Instruction Hospital, Mohamed V University, Rabat,

Morocco

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Article ID: 100073Z06AB2019

doi: 10.5348/100073Z06AB2019CR

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How to cite this article

El Bakkari A, Ayouche O, Diekouadio F, el Menaoui O, Bouchaib R, Salmi N, Kettani Y. A rare cause of pulmonary artery pseudoaneurysm: A case report. Case Rep Int 2019;8:100073Z06AB2019.

ABSTRACT


Introduction: An aneurysm is defined as a focal dilatation of a blood vessel involving all three layers of the vessel wall. Behçet’s disease is responsible for inflammation of the pulmonary arteries and may conduce to an aneurysm. Fifteen percent of patients with Behçet’s disease suffer from vascular involvement that includes pulmonary arteries, peripheral and central veins, peripheral and large arteries. The most common manifestation is the deep venous thrombosis (DVT) around 87%; on the other hand the involvement of the pulmonary arteries reaches 10% of the patients.

Case Report: We expose the case of a 31-year-old man, who consulted in emergency for hemoptysis that led to the performance of bronchoscopy and a bronchoalveolar lavage. To enrich the case, a thoracic computed tomography (CT) with and without enhancement and a magnetic resonance imaging (MRI) were conducted. The MRI demonstrated bilateral pseudoaneurysms of the pulmonary artery. The treatment was based on corticotherapy and hemostatic. No complications were noted in follow-up exams.

Conclusion: Pseudoaneurysm of pulmonary artery is rare, congenital heart disease and pulmonary hypertension are the leading causes. They can rupture and their management needs multidisciplinary staff.

Keywords: Aneurysm, Behçet, Computed tomography, Pulmonary artery

SUPPORTING INFORMATION


Author Contributions

Asaad El Bakkari - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Othman Ayouche - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Fabrice Diekouadio - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ouadie el Menaoui - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Redouane Bouchaib - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Najlaa Salmi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Youness Kettani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 Asaad El Bakkari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.