A case of catastrophic bleed in an aspergilloma complicated by pulmonary artery pseudoaneurysm

Although rare, PA aneurysms have a high mortality rate with a large proportion of the cases reported being found at post-mortem examination. Although this is an unusual complication of Aspergillus pneumonia, the identification and successful treatment of pulmonary artery aneurysms requires a high-index of suspicion. Aspergillus infection is known to result in aneurysms in immunocompromised patients and in patients with infective endocarditis. The case we report is unusual in that the patient was not immunocompromised and was treated by by endovascular glue embolisation allowing the patient to be weaned from ventilatory support.