A Case of Bronchial Artery Aneurysm Presenting with Massive Hemoptysis.

Choi, Hyo Jin; Ok, Kyung Sun; Jung, Sung Mo; Lee, Young Min; Kang, Yun Kyung; Jin, Jae Yong; Jin, Sung Lim; Lee, Hyuk Pyo; Choi, Soo Jeon; Yum, Ho Kee

doi:2002.52.1.86

Tuberc Respir Dis > Volume 52(1); 2002 > Article

Case Report

Tuberculosis and Respiratory Diseases 2002;52(1):86-91.
DOI: https://doi.org/10.4046/trd.2002.52.1.86 Published online January 1, 2002.

A Case of Bronchial Artery Aneurysm Presenting with Massive Hemoptysis.

Hyo Jin Choi, Kyung Sun Ok, Sung Mo Jung, Young Min Lee, Yun Kyung Kang, Jae Yong Jin, Sung Lim Jin, Hyuk Pyo Lee, Soo Jeon Choi, Ho Kee Yum

¹Department of Internal Medicine, College of Medicine, Inje University, Seoul, Korea. pulho@korea.com
²Department of Pathology, College of Medicine, Inje University, Seoul, Korea.

Abstract

A bronchial artery aneurysm(BAA) is rare, and has an unclear etiology. However, it may be caused by conenital abnormalities and acquired diseases like as bronchiectasis, tuberculosis, and other infections. The pathogenesi s of a bronchial artery dilatation and the formation of an aneurysm results in an increase in the systemic blood flow to the chronic inflammatory pathologic lungs such as bronchiectasis or tuberculosis. It can be divided into the mediastinal and intrapulmonary BAA according to their location. The most common symptom is hemoptysis. Chest computed tomography and bronchial artery angiography may be used for a diagnosis. Treatment is mainly by a surgical resection of the aneurysmal artery. However, when patient is unstable due to massive hemoptysis or recurrent hemoptysis, bronchial artery embolization is useful. Here, we experienced a case of a bronchial artery aneurysm presenting as a massive hemoptysis.

Key Words: Bronchial artery aneurysm, Hemoptysis