SHM Converge Scientific Abstract ePoster Gallery-Massive Hemoptysis Following Covid-19 Infection

Pdf Summary

A 65-year-old woman developed 7 days of fatigue, cough, and hemoptysis seven weeks after hospitalization for COVID-19 pneumonia treated with high-flow oxygen, remdesivir, dexamethasone, and tocilizumab. Her past history included hypertension, obesity, diabetes type 2, dislipidemia, and multinodular goiter. She was a former smoker with no history of tuberculosis, trauma, vasculitis, or recent travel.<br /><br />The case highlights a rare but serious complication of COVID-19: pulmonary artery pseudoaneurysm (PAP). PAP is an abnormal focal dilation involving the outer layers of the pulmonary artery wall and can cause life-threatening hemoptysis. Because prior imaging before her COVID-19 admission had been negative, the pseudoaneurysm was considered an acquired lesion likely associated with her recent SARS-CoV-2 infection.<br /><br />The authors note that COVID-19 can cause diffuse alveolar damage and vasculopathy, which may contribute to vascular complications such as PAP. Although the exact mechanism is not yet known, this case adds to growing evidence that post-COVID lung findings, including new nodules or focal consolidations, should prompt consideration of PAP even in the absence of symptoms.<br /><br />The key clinical message is that prompt recognition of pulmonary artery pseudoaneurysm after COVID-19 is essential to prevent massive, potentially fatal hemoptysis and to guide appropriate treatment.

Asset Subtitle

Lissette Orozco-Bersoza

Meta Tag

Author List Elizabeth Henley, John Hopper, Lissette Orozco-Bersoza

Category Clinical Vignettes

Concept Pulmonary Artery Pseudoaneurysm

Concept Hemoptysis

Concept COVID-19 Infection

Distinguished Non-Finalist

Presenter Organization Trinity Health Ann Arbor Hospital

Presenting Author Lissette Orozco-Bersoza

Track Adult

Keywords

COVID-19

pulmonary artery pseudoaneurysm

hemoptysis

post-COVID complication

SARS-CoV-2

pulmonary vasculopathy

diffuse alveolar damage

lung nodule

focal consolidation

massive hemoptysis

Pulmonary Artery Pseudoaneurysm

Hemoptysis

COVID-19 Infection