Article Abstract

Ruptured aneurysm of major aortopulmonary collateral artery: management using amplatzer vascular plug

Authors: Arun Sharma, Sanjeev Kumar, Sarv Priya


Aneurysm of a major aortopulmonary collateral artery (MAPCA) is quite rare. Aneurysmally
dilated MAPCA may be complicated with rupture and massive hemoptysis leading to sudden death. Possible
pathophysiology for aneurysm formation is persistent high pressure state in collateral circulation. High
index of suspicion is necessary to avoid catastrophic complications as the amount of hemoptysis does not
correlate with disease severity and etiology. We present a case of large ruptured aneurysm of a MAPCA
presenting with massive haemoptysis in a patient of cyanotic congenital heart disease which was salvaged by
endovascular deployment of vascular plug.