Images in Pulmonary MedicineEndovascular Management of Massive Hemoptysis in Patients With Pulmonary PseudosequestrationChing, Kevin C. MD; Santos, Ernesto MD; Short, Robert F. MD, PhD; Bandi, Rupal MDAuthor Information Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA Disclosure: The authors declare that they have no conflicts of interest. Address correspondence to: Kevin C. Ching, MD, Department of Radiology, University of Pittsburgh, 3950 Presby South Tower, 200 Lothrop Street, Pittsburgh, PA 15213. E-mail: firstname.lastname@example.org. Clinical Pulmonary Medicine: January 2014 - Volume 21 - Issue 1 - p 56-59 doi: 10.1097/CPM.0000000000000012 Buy Metrics Abstract Idiopathic chronic lung consolidation is a rare cause of massive hemoptysis. We describe 2 patients with chronic pulmonary consolidation of unknown etiology who presented with massive hemoptysis resulting in airway compromise. Selective angiography demonstrated multiple hypertrophied systemic arteries supplying the area of consolidation, consistent with pulmonary pseudosequestration. Initial endovascular management with embolization resulted in immediate control of hemoptysis. Short interval repeat angiography and embolization was necessary in both patients to treat recurrent hemoptysis secondary to hemorrhage from multiple feeding arteries. Selective bronchial and nonbronchial systemic arterial embolization is an effective treatment for massive hemoptysis secondary to pulmonary pseudosequestration. © 2014 by Lippincott Williams & Wilkins, Inc.