Journal List > Tuberc Respir Dis > v.65(6) > 1001327

TOOLS
Chung, Cho, Park, Ryu, Kwak, Lee, and Jeon: A Case of Bronchial Artery Aneurysm with Bronchiectasis and Successful Coil Embolization
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2008; 65(6): 546-549.

Published online: 31 December 2008

DOI: https://doi.org/10.4046/trd.2008.65.6.546

A Case of Bronchial Artery Aneurysm with Bronchiectasis and Successful Coil Embolization

Hyun Jung Chung, M.D.1, Jae Hwa Cho, M.D.1, Byoung Do Park, M.D.1, Jeong Seon Ryu, M.D.1, Seung Min Kwak, M.D.1, Hong Lyeol Lee, M.D.1, Yong Sun Jeon, M.D.2

1Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea.

2Department of Radiology, Inha University College of Medicine, Incheon, Korea.

Address for correspondence: Jae Hwa Cho, M.D. Department of Internal Medicine, Inha University Hospital, 7-206, 3-ga, Sinheung-dong, Jung-gu, Incheon 400-711, Korea. Phone: 82-32-890-3490, Fax: 82-32-882-6578, jaehwa.cho@inha.ac.kr

Received 2 October 2008       Accepted 21 October 2008

Copyright © 2008 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Bronchial artery aneurysm (BAA) is a rare entity that requires early diagnosis and immediate treatment due to the possibility of a life-threatening massive hemorrhage through rupture. The standard treatment is a surgical resection of the aneurismal artery. However, various embolization techniques, including coil embolization, are currently used as the optimal treatment because they are less invasive. A 65-year-old woman was referred for the treatment of intermittent hemoptysis. A chest CT scan showed an approximately 2 cm sized vascular mass with strong contrast enhancement originating from the right bronchial artery on the bronchiectatic parenchyma. On the angiogram, the inferior portion of the bronchial artery with a hypertrophic aspect and a huge bronchial artery aneurysm was detected on the left side branch. The bronchial artery aneurysm was embolized successfully with coils at the proximal and distal portion of the aneurysm. After coil embolization, the selective bronchial angiogram confirmed complete occlusion. We report this case of a bronchial artery aneurysm that was treated successfully with coil embolization.

Keywords: Bronchial artery aneurysm, Bronchiectasis, Coil embolization

Figures and Tables

Figure 1
(A, B) Chest CT shows a huge bronchial artery aneurysm (BAA) in Rt. bronchial artery. About 2 cm sized, well-defined, mass is noted in right middle lobe area on axial image. (C) On oblique coronal MPR view, right bronchial artery is originated from thoracic aorta, and BAA is seen in left side of its branch. (D) VRT image demonstrates vascular structure between Rt. bronchial artery and BAA.
trd-65-546-g001
Figure 2
Selective right bronchial angiogram shows bronchial artery hypertrophy and huge bronchial artery aneurysm.
trd-65-546-g002
Figure 3
A bronchial artery aneurysm is successfully embolized with coils at proximal and distal portion of aneurysm (aneurysm is not seen).
trd-65-546-g003
Figure 4
Follow up chest CT was performed 4 weeks later after embolization. Metal stent coils' shadowing is seen. No more bronchial artery aneurysm is detected.
trd-65-546-g004

References

1. Aburano H, Kawamori Y, Horiti Y, Kitagawa K, Sanada J, Matsui O. Bronchial artery aneurysm embolization with NBCA. Cardiovasc Intervent Radiol. 2006. 29:1141–1143.
2. Sakai T, Razavi MK, Semba CP, Kee ST, Sze DY, Dake MD. Percutaneous treatment of bronchial artery aneurysm with use of transcatheter coil embolization and thoracic aortic stent-graft placement. J Vasc Interv Radiol. 1998. 9:1025–1028.
3. Choi HJ, Ok KS, Jung SM, Lee YM, Kang YK, Jin JY, et al. A case of bronchial artery aneurysm presenting with massive hemoptysis. Tuberc Respir Dis. 2002. 52:86–91.
4. Yanagihara K, Ueno Y, Kobayashi T, Isobe J, Itoh M. Bronchial artery aneurysm. Ann Thorac Surg. 1999. 67:854–855.
5. Kalangos A, Khatchatourian G, Panos A, Faidutti B. Ruptured mediastinal bronchial artery aneurysm: a dilemma of diagnosis and therapeutic approach. J Thorac Cardiovasc Surg. 1997. 114:853–856.
6. Choi SY, Ahn C, Min SK, Han JJ, Ahn JH, Won T. A giant bronchial artery aneurysm in bronchiectatic patient: one case report. Korean J Thorac Cardiovasc Surg. 2004. 37:951–954.
7. Tanaka K, Ihaya A, Horiuci T, Morioka K, Kimura T, Uesaka T, et al. Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature. J Vasc Surg. 2003. 38:1125–1129.
8. Jacobi M. Aneurysm of the bronchial arteries. Am Heart J. 1930. 5:795–780.
9. Hong SA, Ha TH, Lyu JW, Kim YK, Lee YM, Kim KU, et al. A case of bronchial artery aneurysm demonstrating hilar mass. Tuberc Respir Dis. 2007. 62:62–66.
10. Servois V, Denys A, Silbert A. Mycotic aneurysm of the bronchial artery: a rare cause of hemoptysis. AJR Am J Roentgenol. 1992. 159:428.
11. Sancho C, Domínguez J, Escalante E, Hernandez E, Cairols M, Martinez X. Embolization of an anomalous bronchial artery aneurysm in a patient with agenesis of the left pulmonary artery. J Vasc Interv Radiol. 1999. 10:1122–1126.
12. Cearlock JR, Fontaine AB, Urbaneja A, Spigos DG. Endovascular treatment of a posttraumatic bronchial artery pseudoaneurysm. J Vasc Interv Radiol. 1995. 6:495–496.
13. Sbano H, Mitchell AW, Ind PW, Jackson JE. Peripheral pulmonary artery pseudoaneurysms and massive hemoptysis. AJR Am J Roentgenol. 2005. 184:1253–1259.
TOOLS
ORCID iDs

Jae Hwa Cho
https://orcid.org/http://orcid.org/0000-0002-3432-3997

Similar articles