Pulmonary sequestration is rarely presented as massive hemoptysis and is conventionally treated by a surgical procedure. Here, we report a case of a 25-year-old man who presented with massive hemoptysis that rapidly developed into a hypovolemic shock. Multidetector computed tomographic angiography showed active contrast extravasation from the aberrant systemic artery originating from the lower descending thoracic aorta. Immediate transcatheter embolization of the aberrant systemic artery was performed successfully. Emergent transcatheter embolization can be an effective method for the management of pulmonary sequestration with life threatening massive hemoptysis.
Keywords: CT angiography; Embolization; Intervention; Massive hemoptysis; Pulmonary sequestration.
Copyright © 2014. Published by Elsevier Inc.