Embolisation of a bronchial artery of anomalous origin in massive haemoptysis

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Ahmad Razali Md Ralib1, Ng Teck Han, How Soon Hin

  • 1Department of Radiology, Kulliyyah of Medicine, International Islamic University Malaysia, 25710 Kuantan, Pahang, Malaysia.

The Malaysian Journal of Medical Sciences : MJMS
|December 3, 2011
PubMed

Massive haemoptysis is the most dreaded of all respiratory emergencies. Bronchial artery embolisation is known to be a safe and effective procedure in massive haemoptysis. Bronchial artery of anomalous origin presents a diagnostic challenge to interventional radiologists searching for the source of haemorrhage. Here, we report a case of massive haemoptysis secondary to a lung carcinoma with the bronchial artery originating directly from the right subclavian artery. This artery was not evident during the initial flush thoracic aortogram. The anomalous-origin bronchial artery was then embolised using 15% diluted glue with good results. An anomalous-origin bronchial artery should be suspected if the source of haemorrhage is not visualised in the normally expected bronchial artery location.

Keywords:
bronchial arteriesglueshaemoptysismedical sciencestherapeutic embolisation

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