Nitin, 4 years male child was admitted to KEM hospital on 15/05/13(around

10pm)with complain of fever,cough,cold for 6 days and respiratory distress for 2

days.child was referred from central hospital Ulhasnagar in view of right sided
pleural effusion with increasing disress.At KEM hospital child was started on
oxygen , iv fluid, iv ceftriaxone.Blood investigation at KEM Hb-6.7,WBC21500,Platelets-2.2 lakh,PT-11.8,Aptt-29, INR-1.32. Pleural tap was done which was
hemorrhagic and showing( poly-4800,lympho-2980,RBC-17000,protein-1.25gm). In
view of hemorrhagic tap CVTS reference was done and they advised CT Pulmonary
angiography. CT Pulmonary angiography was done on 16/05/13 which was
suggestive of aneurysm arising from right ascending posterior pulmonary artery 3 rd
order branch with main pulmonary artery dilatation s/o pulmonary hypertension.So
glue was injected for obliteration of dilatation on 17/05/13 morning.Post procedure
child went into shock with increased resp[iratory distress. So child was intubated
and transferred to picu.During picu stay child was put on ventilator and started on
ionotropic agent. Child expired on 18/05/13(evening).