Pulmonary Vascular Complication associated with Coronavirus Infection and Role of Lung Resection.

Pulmonary artery pseudoaneurysms are an uncommon diagnosis and have been minimally described in the Coronavirus (COVID-19) literature. In our case, a 31 year old male presented with severe acute hypoxic respiratory failure, stress cardiomyopathy, and combined septic and cardiogenic shock secondary to COVID-19 pneumonia and Streptococcus anginosus (SAG) bacteremia. The patient had perfusing granulomas eroding into the pulmonary vasculature causing impending hemothorax. Thoracic surgery for infectious pulmonary artery pseudoaneurysms or perfusing granulomas in patients who have had COVID-19 should be performed selectively and with thoughtful perioperative planning as to prevent the life-threatening complications of rupture and bleeding.