A Case of Bronchial Artery Aneurysm with Bronchiectasis and Successful Coil Embolization.

Chung, Hyun Jung; Cho, Jae Hwa; Park, Byoung Do; Ryu, Jeong Seon; Kwak, Seung Min; Lee, Hong Lyeol; Jeon, Yong Sun

doi:2008.65.6.546

Tuberc Respir Dis > Volume 65(6); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;65(6):546-549.
DOI: https://doi.org/10.4046/trd.2008.65.6.546 Published online December 1, 2008.

A Case of Bronchial Artery Aneurysm with Bronchiectasis and Successful Coil Embolization.

Hyun Jung Chung, Jae Hwa Cho, Byoung Do Park, Jeong Seon Ryu, Seung Min Kwak, Hong Lyeol Lee, Yong Sun Jeon

¹Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. jaehwa.cho@inha.ac.kr
²Department of Radiology, Inha University College of Medicine, Incheon, Korea.

Abstract

Bronchial artery aneurysm (BAA) is a rare entity that requires early diagnosis and immediate treatment due to the possibility of a life-threatening massive hemorrhage through rupture. The standard treatment is a surgical resection of the aneurismal artery. However, various embolization techniques, including coil embolization, are currently used as the optimal treatment because they are less invasive. A 65-year-old woman was referred for the treatment of intermittent hemoptysis. A chest CT scan showed an approximately 2 cm sized vascular mass with strong contrast enhancement originating from the right bronchial artery on the bronchiectatic parenchyma. On the angiogram, the inferior portion of the bronchial artery with a hypertrophic aspect and a huge bronchial artery aneurysm was detected on the left side branch. The bronchial artery aneurysm was embolized successfully with coils at the proximal and distal portion of the aneurysm. After coil embolization, the selective bronchial angiogram confirmed complete occlusion. We report this case of a bronchial artery aneurysm that was treated successfully with coil embolization.

Key Words: Bronchial artery aneurysm, Bronchiectasis, Coil embolization