Ruptured mediastinal bronchial artery aneurysm: A dilemma of diagnosis and therapeutic approach

Abstract

Brief communications 8 5 3We conclude that aortic valvuloplasty with an isolated triangular resection of the prolapsing cusp is an easy and effective technique for the treatment of the aortic insufficiency in children with VSD.

Coil embolization of bronchial artery aneurysm with high flow bronchial artery-pulmonary artery fistula

“…Underlying diseases include pulmonary sequestration and pulmonary agenesis [6] as congenital disease, and atherosclerosis, bronchiectasis, chronic inflammation, infection, and trauma [1] as acquired disease. Some reports describe cases associated with systemic vascular abnormalities, such as Rendu-Osler-Weber syndrome [7] and sepsis [8]. In our case, there were no underlying disease and medical histories such as pneumonia in childhood.…”

Aortic Stent-Graft for a Giant Bronchial Artery Aneurysm with Ultrashort Neck

“…It has been proposed that bronchial artery aneurysms are caused by focal weakening or injury of the vessel wall, although increased bronchial arterial flow might also play a role. 1,2) Two approaches are used to treat bronchial artery aneurysms, namely, surgical resection or ligation of the lesion and BAE. The surgical approach reliably eliminates the lesion, but may be unsuitable in patients at high risk that cannot tolerate thoracotomy.…”

“…1) Conventional therapies include surgical resection of the aneurysm with thoracotomy or transcatheter bronchial arterial embolization (BAE). However, surgery may not be feasible if the patient has a poor pulmonary function, and transcatheter BAE may be difficult if the aneurysm is located close to the thoracic aorta.…”

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

“…As surgical extirpation is more invasive than endovascular procedures, it has only been described in cases of severe complications such as rupture, (2) or in cases where TAE is not feasible or has failed. Regardless of the procedure of choice, post-procedure follow-up imaging is certainly required, to ensure that reperfusion of the aneurysm sac can be identified and treated early.…”

“…(1,2) It is potentially life-threatening, and thus, treatment should be initiated as soon as diagnosis is made. No direct aetiology has been established; however, it has been found to be associated with chronic pulmonary diseases and vascular abnormalities.…”