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  Indian J Med Microbiol
 

Figure 1: Axial section of high-resolution computed tomography chest (a) in lung window showing subsegmental areas of cavitatory consolidation in the right upper lobe. Axial and coronal reformatted sections of contrast enhanced computed tomography chest (b and c) showing 6.5 mm × 5.7 mm sized pulmonary artery pseudoaneurysm (red arrow) noted arising from apical segmental branch of the right ascending pulmonary artery. Anteroposterior projection of catheter angiography (d) with selective cannulation of the right intercostobronchial trunk showing dilated, tortuous, hypertrophied bronchial vessels with blush in the right lung field and opacification of pseudoaneurysm (black arrow) and right ascending pulmonary artery due to bronchopulmonary shunt. The intercostobrachial trunk was embolized using polyvinyl alcohol particles, and the information was used for selective cannulation of the right ascending pulmonary artery pseudoaneurysm. Anteroposterior projection of catheter pulmonary angiography (e) selective injection of contrast after cannulation of pseudoaneurysm (dashed black arrow showing the tip of microcatheter in pseudoaneurysm) showing opacification of pseudoaneurysm (black arrow). Anteroposterior projection digital subtraction angiography image (f) showing glue embolization of pseudoaneurysm (black arrow) and its feeding artery (dashed black arrow) with normal opacification of adjacent branch (double black arrow)

Figure 1: Axial section of high-resolution computed tomography chest (a) in lung window showing subsegmental areas of cavitatory consolidation in the right upper lobe. Axial and coronal reformatted sections of contrast enhanced computed tomography chest (b and c) showing 6.5 mm × 5.7 mm sized pulmonary artery pseudoaneurysm (red arrow) noted arising from apical segmental branch of the right ascending pulmonary artery. Anteroposterior projection of catheter angiography (d) with selective cannulation of the right intercostobronchial trunk showing dilated, tortuous, hypertrophied bronchial vessels with blush in the right lung field and opacification of pseudoaneurysm (black arrow) and right ascending pulmonary artery due to bronchopulmonary shunt. The intercostobrachial trunk was embolized using polyvinyl alcohol particles, and the information was used for selective cannulation of the right ascending pulmonary artery pseudoaneurysm. Anteroposterior projection of catheter pulmonary angiography (e) selective injection of contrast after cannulation of pseudoaneurysm (dashed black arrow showing the tip of microcatheter in pseudoaneurysm) showing opacification of pseudoaneurysm (black arrow). Anteroposterior projection digital subtraction angiography image (f) showing glue embolization of pseudoaneurysm (black arrow) and its feeding artery (dashed black arrow) with normal opacification of adjacent branch (double black arrow)