http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Digital-Portals/Cardiac-CT-Community/Iatrogenic-pulmonary-artery-pseudoaneurysm.aspx<p>An 84-year–old woman presented with hemoptysis during an elective right-heart catheterization when a pulmonary capillary wedge pressure measurement was performed. Her history was significant for hypertension, atrial fibrillation, pulmonary hypertension, and atrial septal defect repaired 40 years prior. She presented with diffuse expiratory wheezing and was admitted to the ICU and intubated. Bronchoscopy was performed and showed blood clots in the right mainstem bronchus, but there was no active bleeding. A chest radiograph at ICU admission revealed a right upper-lobe ill-defined airspace opacity (Figure 1).</p> <p>On day 2 of admission, the patient was extubated and transferred to a medical floor. She developed a cough and a repeat CXR was performed, which showed persistence of the right upper lobe (RUL) opacity, which was further studied with a computed tomography angiography (CTA) scan. The patient declined any intervention and is being followed clinically.</p>Tuesday, 26 Feb 2013 15:30:48 GMT