Treatment of post COVID-19 pulmonary artery pseudoaneurysm: a report of two cases

Abstract

Pulmonary pseudoaneurysms (PAPs) are potentially life-threatening entity. Pulmonary pseudoaneurysm (PAP) post-COVID-19 infection is a rare complication with only a few case reports. Here, we describe two such patients who were successfully treated with embolization using pushable coils. Our first patient was a 72-year-old male who presented with massive hemoptysis two months after COVID-19 pneumonia. CT tomography angiography showed a thick-walled cavitary lesion with a bilobed pseudoaneurysm arising from the posterior segmental branch of the right lower lobe pulmonary artery. In our second case, a 66-year-old female presented with hemoptysis two month after COVID-19 infection. Chest CT showed extensive pulmonary opacities. This patient also had a pseudoaneurysm of the posterior segmental branch of the right lower lobe pulmonary artery. Both patients were treated with embolization using pushable coils to achieve occlusion of the pseudoaneurysm and its feeding artery.