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Images in Thorax
Bronchoscopic extraction of a migrated endovascular coil
  1. John Doan1,
  2. Kavya Puchhalapalli1,
  3. Parag J Patel2,3,
  4. Mario Gasparri4,
  5. Jonathan S Kurman5,
  6. Bryan S Benn5
  1. 1 Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  2. 2 Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  3. 3 Department of Radiology, Division of Vascular & Interventional Radiology, Milwaukee, Wisconsin, USA
  4. 4 Department of Thoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  5. 5 Department of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  1. Correspondence to John Doan, Medical College of Wisconsin, Milwaukee, WI 53226-0509, USA; jodoan{at}mcw.edu

https://doi.org/10.1136/thoraxjnl-2021-216873

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    Case presentation

    A 32-year-old man presented with a 3-week history of productive cough and intermittent haemoptysis. 14 months prior, he underwent tricuspid valve replacement, pacemaker insertion, and coil embolisation of bilateral mycotic aneurysms due to endocarditis complicated by pulmonary and septic emboli in the setting of intravenous drug use. Chest X-ray (CXR) revealed right middle lobe (RML) consolidation with a coil extending centrally into the trachea (figure 1A).

    Figure 1

    Chest x-ray showing (A) a migrated and uncoiled right middle lobe pulmonary pseudoaneurysm embolisation coil (red arrows). (B) Interval removal without residual coil in the airway immediately postprocedure, and (C) no further migration of remaining coils 7 weeks postprocedure.

    He was evaluated by interventional radiology (IR) for management of the migrated coil and referred to interventional pulmonology (IP) and thoracic surgery. Multidisciplinary consensus was to proceed with …

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    Footnotes

    • Contributors JD, KP and BSB were responsible for data collection and accuracy of data. All authors contributed to analysis of results, finalisation of the manuscript, and approval of the submitted article. JD, KP, and BSB conceived and wrote the manuscript. BSB takes responsibility for the integrity of the work as a whole. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.