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Ruptured anterior communicating artery aneurysm with neurogenic pulmonary edema

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Found down.

Patient Data

Age: 30 years
Gender: Female

Endotracheal and nasogastric tubes appropriately positioned, non-specific diffuse bilateral consolidation.

Predominantly perihilar consolidation and groud-glass opacity, likely pulmonary edema.

Extensive subarachnoid and mild intraventricular hemorrhage with mildly dilated ventricles, no intraparenchymal hemorrhage or infarction.

Anterior communicating artery aneurysm, shown before (first 2 images) and after (second 2 images) embolization.

Evolving blood products, no intraparenchymal hemorrhage or infarct. Anterior communicating artery embolization coils, ventriculostomy catheter.

New central line tip in the right atrium, mild basilar atelectasis, lungs otherwise clear.

Case Discussion

Successful embolization of a ruptured anterior communicating artery embolism. Neurogenic pulmonary edema usually resolves spontaneously within 3 days.

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