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A Mycotic Pulmonary Artery Aneurysm Presenting as an Endobronchial Mass*

Mark T. Dransfield; James E. Johnson
Author and Funding Information

*From the University of Alabama at Birmingham, Birmingham, AL.

Correspondence to: James E. Johnson, MD, FCCP, Division of Pulmonary, Allergy, and Critical Care, BDB 390, 1808 Seventh Ave South, Birmingham, AL 35294-0012; e-mail: jjohnson@pulm. dom.uab.edu



Chest. 2003;124(4):1610-1612. doi:10.1378/chest.124.4.1610
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We report the case of a 49-year-old woman who developed an endobronchial mycotic pulmonary artery aneurysm (PAA) as a complication of pneumonia. After presenting with patchy infiltrates, she developed right lung atelectasis. A noncontrast chest CT scan revealed a mass in the right hilum, and bronchoscopy identified an obstructing lesion in the right mainstem bronchus. Unfortunately, biopsy caused massive hemorrhage, and the patient died. An autopsy identified a mycotic PAA that had invaded the right mainstem. The case suggests that a contrasted CT scan should be included in the evaluation of endobronchial masses and that PAA should be included in the differential diagnosis of such lesions.

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