Percutaneous Embolization for Ruptured Ectopic Bronchial Artery Aneurysm: a Case Report

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2015 May 22

PMID 25997041

Citations 4

Authors

Yaoping Shi

HongJie Hu

Weimin Zhang

Weiping Wang

Affiliations

Soon will be listed here.

Abstract

Bronchial artery aneurysm (BAA) is an uncommon disease, and spontaneous rupture of an ectopic BAA can be difficult for diagnosis and life-threatening. This case study describes a 52-year-old man who presented with acute onset of right chest pain, mild tachycardia, and hypertension. The initial diagnosis of acute myocardial infarction was made, and the patient was given nitroglycerin prior to admission to our hospital. However, the patient's symptoms deteriorated. An enhanced computed tomography scan revealed a ruptured 25-mm diameter mediastinal aneurysm under the tracheal bifurcation when he was admitted to our hospital. Bronchial arteriography further demonstrated a ruptured mediastinal BAA of a bronchial artery originated from the left subclavian artery, supplying the right lobe. Transcatheter artery embolization with polyvinyl alcohol particles and microcoils was performed successfully. The patient's symptoms were gradually relieved, and without recurrence on 1 year follow-up.This case highlights the rare variation of mediastinal BAA and the role of interventional radiology in diagnosing and treating this critical condition.

Citing Articles

[Lethal Hemomediastinum due to Spontaneous Rupture of an Aberrant Bronchial Artery in a Patient with Neurofibromatosis Type 1: Successful Treatment with Embolization].

Im Y, Choi M, Kim B Taehan Yongsang Uihakhoe Chi. 2022; 81(4):958-964.

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Spontaneous rupture of the branches of left subclavian artery: A case report and review of the literatures.

Tong Y, Lu Y, Jiang J, Chen N, Xu J Medicine (Baltimore). 2018; 97(14):e0290.

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Massive hemoptysis due to multiple bronchial artery aneurysms and multiple aneurysmal dilations: A case report.

Hou Z, Wang J, Peng D, Li C, Yang J, Wang J Radiol Case Rep. 2018; 13(1):24-27.

PMID: 29487634 PMC: 5826471. DOI: 10.1016/j.radcr.2017.11.010.

A ruptured bronchial artery aneurysm with massive haemoptysis.

Ueda R, Kotani Y, Tsujimoto T BMJ Case Rep. 2017; 2017.

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