CASE PRESENTATION: A 38-years-old female, admitted in August 2014 to Mansoura university hospital with recurrent attacks of massive hemoptysis 2 months before admission. Chest X-ray, and non-contrast chest computed tomography (CT) revealed a homogenous opacity in the right lower lobe 10 cm X 11cm giving impression of mass lesion. Fiber-Optic bronchoscopy was performed with no endobronchial abnormalities. Post contrast CT chest revealed giant right PAA occupying most of the right lower lobe with thrombosed wall (Fig 1) and transferred for further management. Coil embolization was performed with successful control of hemoptysis. Six months later, she re-presented to ER with fever, massive hemoptysis, and coughing of one of the embolized coils. Urgent pulmonary CT angiography revealed presence of unfolded coils in the right main bronchus and trachea (Fig 2). She urgently referred to OR, right lower lobectomy was performed and complicated with severe intra-operative bleeding and post-operative hypovolemic shock. She received IV fluids and blood but unfortunately 4 days later she arrested and CPR was done but failed.