巨大気管支動脈瘤に対する短く不規則なネックを持つ血管内塞栓術の課題:症例報告
Jiamin Wang1, Xiaogang Hu1, Hongpeng Li1
1Department of Interventional Radiology, Jinhua Hospital of Zhejiang University School of Medicine, Jinhua City, Zhejiang, China.
Rationale:
Bronchial artery aneurysm (BAA) is a rare condition, but it can be life-threatening if the aneurysm ruptures. While endovascular therapy is the primary treatment, the selection of embolic material is limited by the tortuous and short aneurysm neck.
Patient Concerns:
We report a huge, suspected ruptured BAA was unexpectedly detected in a 69-year-old man during a routine medical examination.
Diagnoses:
Enhanced chest computed tomography angiography and selective bronchial arteriography both revealed that the BAA was located at the proximal portion of the left bronchial artery It was characterized by a large aneurysm sac and a short, irregularly dilated aneurysm neck.
Interventions:
We successfully occluded the huge BAA using a single amplatzer vascular plug.
Outcomes:
The 6-month computed tomography angiography follow-up scan showed no signs of aneurysm recurrence.
Lessons:
Transcatheter embolization utilizing a single amplatzer vascular plug has proven to be an effective and cost-efficient treatment for BAAs that are characterized by a large aneurysm sac and a short, tortuous, irregularly dilated aneurysm neck.
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