Full Text of PDF (680k)
Article in Japanese
Abstract
Case Report
A case of ruptured mediastinal bronchial artery aneurysm with hemothorax
Naoki Omachia,* Saaka Hamanoa Hiroshi Watayaa Nobuko Tsurutaa Kazuyuki Higuchia
aDepartment of Respiratory Medicine, Hamanomachi Hospital
*Present address: Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center
ABSTRACT
The patient was a 59-year-old woman. She was admitted because of a sudden onset of right chest pain after vomiting. Chest contrast CT revealed right hemothorax and hematoma in retroesopageal recess, and multiplanar reconstruction clearly revealed a bronchial artery aneurysm. The diagnosis was a ruptured bronchial artery aneurysm. We performed selective angiography of the bronchial artery, revealing two aneurysms of the right bronchial artery, and we performed bronchial arterial embolization. After successful embolization, hemothorax and hematoma improved, and it has not been seen for 16 months. A ruptured bronchial arterial aneurysm should be considered as one of the differential diagnoses of hemothorax.
KEYWORDS
Hemothorax Bronchial arterial aneurysm Bronchial arterial embolization
Received 3 Apr 2012 ／ Accepted 6 Jun 2012
AJRS, 2(1): 63-67, 2013
Copyright © The Japanese Respiratory Society All Rights Reserved.