A rare case of multiple bronchial artery aneurysms associated with a double aortic arch

Mahmood, Rameysh Danovani; Chen, Zhi Yong; Low, Teck Boon; Ng, Keng Sin

doi:10.11622/smedj.2015050

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…21 The presentations of BAA are related to the size, location, and complications. The most common symptom of multiple BAAs is hemoptysis, 10 -12,14,17,18 found in 50% of the cases. Other symptoms include cough, 5 dyspnea, 12 chest pain, 7 dysphagia, 5 back pain, 16 and hoarseness.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of BAA remains unclarified, but previous literature indicated associations with increased bronchial artery blood flow and weakening or injury of the vessel walls. 8 Diseases relevant to multiple BAAs are bronchiectasis, 14,15 hypertension, 7,10,19 atherosclerosis, 10 interstitial lung disease, 15 mycobacteria infection, 17 and scleroderma. 17 Congenital malformation was also considered a cause of BAA.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Treatment of Multiple Bronchial Artery Aneurysms With Prominent Fistula to Pulmonary Artery in a Patient With Interstitial Lung Disease: A Case Report and Literature Review

Bao

et al. 2019

Vasc Endovascular Surg

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Bronchial artery aneurysm (BAA) is a rare entity. Ruptured BAA can cause life-threatening hemorrhage. It is recommended that treatment should be initiated immediately after diagnosis. We present the case of a 56-year-old female with multiple BAAs and interstitial lung disease. Aortic computed tomography angiography demonstrated that the largest aneurysm at the right hilum was fed by right subclavian artery and right bronchial artery. A fistula between the pulmonary trunk and the aneurysm was also revealed. The patient underwent transcatheter embolization. Coils were placed in the feeding vessels instead of the aneurysms to avoid nontarget embolization of the pulmonary arteries through the fistula. The procedure achieved reduction in aneurysmal blood flow. The patient’s cough resolved at 6-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Multiple Bronchial Artery Aneurysms With Prominent Fistula to Pulmonary Artery in a Patient With Interstitial Lung Disease: A Case Report and Literature Review

Bao

et al. 2019

Vasc Endovascular Surg

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“…More importantly, BAA rupture causes life-threatening hemorrhage. The aneurysm diameter is not an independent risk factor [ 1 , 2 , 6 , 8 , 10 , 11 ]. Thus, BAAs should be treated as soon they are detected.…”

Section: Discussionmentioning

confidence: 99%

Growth of Mediastinal Bronchial Artery Aneurysms in a Patient With Bronchiectasis

et al. 2019

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Mediastinal bronchial artery aneurysm (BAA) is a rare and life-threatening disease. We experienced the first case confirming that, despite only slight deterioration of bronchiectasis, mediastinal BAAs expanded remarkably. A 61-year-old female was hospitalized because of hemoptysis. Her respiratory condition required intubated mechanical ventilation. Bronchial artery angiography unexpectedly found unruptured mediastinal BAAs. These BAAs were enlarged compared with those seen in a computed tomography (CT) taken 5 years before. We successfully embolized both BAAs and peripheral arteries. Mediastinal BAAs are capable of increasing more rapidly than a slightly deteriorated underlying bronchiectasis. For rapid and accurate diagnosis of BAA, bronchial artery angiography is important.

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“…Bronchial artery aneurysms have been associated with congenital conditions such as double aortic arch [ 5 ], pulmonary artery agenesis [ 6 ] or defective embryonic development of the bronchial artery wall, or with acquired causes [ 1 ] including atherosclerosis, inflammatory lung disease, bronchiectasis, Osler-Weber-Rendu disease, trauma and tuberculosis [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Embolization of a Bronchial Artery Aneurysm in a Chronic Obstructive Pulmonary Disease (COPD) Patient with Non-Massive Hemoptysis

et al. 2018

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SummaryBackgroundBronchial artery aneurysm (BAA) is a rare condition with a reported prevalence of less than 1% of all selective bronchial arterial angiograms. Despite its low incidence, BAA represents a potential cause of hemoptysis.Case ReportWe describe the case of a 63-year-old man suffering from chronic obstructive pulmonary disease (COPD), who presented with non-massive hemoptysis.CT angiography revealed a single bronchial artery aneurysm of 9 mm in diameter, abutting the esophageal wall.Other CT findings included hypertrophy of the bronchial arteries along the mediastinal course, diffuse thickening of the walls of numerous bronchial branches and a “ground glass” opacity in the anterior segment of the right upper pulmonary lobe suggestive of alveolar hemorrhage.The final diagnosis was established based on selective angiography, which was followed by transcatheter arterial embolization (TAE) of the BAA and of the pathological bronchial circulation.Follow-up CT scans revealed a total exclusion of the aneurysm from the systemic circulation, resolution of the parenchymal “ground glass” opacity and absence of further episodes of hemoptysis over a period of two years.ConclusionsAn incidental finding of a bronchial artery aneurysm necessitates prompt treatment.CT angiography and TAE represent the methods of choice for an appropriate diagnosis and treatment, respectively.In case of a BAA associated with chronic inflammatory diseases, such as COPD, in patients with hemoptysis, TAE of the BAA and of the pathological bronchial circulation, in association with the treatment of the underlying disease, represents a valid approach that can improve the pulmonary status and prevent further episodes of hemoptysis.

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A rare case of multiple bronchial artery aneurysms associated with a double aortic arch

Cited by 6 publications

References 12 publications

Endovascular Treatment of Multiple Bronchial Artery Aneurysms With Prominent Fistula to Pulmonary Artery in a Patient With Interstitial Lung Disease: A Case Report and Literature Review

Endovascular Treatment of Multiple Bronchial Artery Aneurysms With Prominent Fistula to Pulmonary Artery in a Patient With Interstitial Lung Disease: A Case Report and Literature Review

Growth of Mediastinal Bronchial Artery Aneurysms in a Patient With Bronchiectasis

Embolization of a Bronchial Artery Aneurysm in a Chronic Obstructive Pulmonary Disease (COPD) Patient with Non-Massive Hemoptysis

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