Hemoptysis secondary to pulmonary pseudoaneurysm 30 years after a gunshot wound

A 49-year-old man presented with intermittent hemoptysis from a traumatic p ulmonary artery pseudoaneurysm 30 years following a thoracic gunshot wound. The patient was asymptomatic for 28.5 years, when he began experiencing re current hemoptysis, chest pain, and a cough. A left lower lobe mass on ches t x-ray film was investigated with contrast-enhanced computed tomography an d pulmonary angiogram confirming a 1.5-cm pseudoaneurysm. Intraluminal coil embolization was attempted, but a left lower lobectomy was ultimately nece ssary to treat persistent hemoptysis. (C) 2001 by The Society of Thoracic S urgeons.