Covered Stent and Coils Embolization of a Pulmonary Artery Pseudoaneurysm After Gunshot Wound.

We report the first case of endovascular covered stent implantation for the treatment of a large pulmonary artery pseudoaneurysm (PAPA) following a right thoracic gunshot wound. After resuscitation and hemodynamic stabilization, a CT angiography was performed to analyze the neck size of the PAPA and its position relative to the branches of the parent artery. Covered stent implantation with additional coil embolization was successfully performed.

[Acute visceral ischaemia, early complication of the aortic syndrome: how to detect and manage it?].

Visceral malperfusion as a complication of aortic dissection represent 20 % of all type A or B aortic dissections. Visceral ischaemia is a factor of poor prognosis resulting in a higher mortality for these patients, yet, its clinical diagnosis is often underestimated. In all cases, the cross-sectional imaging, especially computed tomography, is needed to precise the mechanism of ischaemia.