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Bronchial artery aneurysm.

K Yanagihara1, Y Ueno, T Kobayashi

  • 1Department of Surgery, The National Gifu Hospital, Japan. kazuhiro@kuhp.kyoto-u.ac.jp

The Annals of Thoracic Surgery
|April 24, 1999
PubMed
Summary
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Giant bronchial artery aneurysms, often misdiagnosed as bronchiectasis causing hemoptysis, can be successfully treated. Both transcatheter arterial embolization and surgical ligation offer effective management options for this rare condition.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Pulmonary Medicine

Background:

  • Giant bronchial artery aneurysms are rare vascular malformations.
  • These aneurysms can present with hemoptysis, potentially mimicking other pulmonary conditions like bronchiectasis.
  • Accurate diagnosis is crucial for effective management.

Observation:

  • Two patients diagnosed with bronchiectasis and presenting with hemoptysis were found to have giant bronchial artery aneurysms originating from the descending aorta.
  • Both patients were 64-year-old women.

Findings:

  • Successful treatment was achieved in both cases.
  • One patient underwent transcatheter arterial embolization.
  • The other patient was treated with surgical ligation.

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Implications:

  • This case series highlights the importance of considering bronchial artery aneurysms in patients with hemoptysis, even with a prior diagnosis of bronchiectasis.
  • Both endovascular (transcatheter arterial embolization) and open surgical (ligation) approaches are viable treatment options.
  • Successful management can resolve hemoptysis and prevent potentially life-threatening complications.