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Case Reports
. 2015;21(6):564-6.
doi: 10.5761/atcs.cr.15-00054. Epub 2015 Jun 5.

A Surgical Case of Bronchial Artery Aneurysm Directory Connecting with Pulmonary Artery

Akihiko Kitami  1 , Fumitoshi Sano, Shoko Hayashi, Kosuke Suzuki, Shugo Uematsu, Takashi Suzuki, Noriyuki Saeki
Affiliations
Case Reports

A Surgical Case of Bronchial Artery Aneurysm Directory Connecting with Pulmonary Artery

Akihiko Kitami et al. Ann Thorac Cardiovasc Surg. 2015.

Abstract

We present a surgical case of bronchial artery aneurysm (BAA) connecting pulmonary artery accompanied with racemose hemangioma. This is a third surgical case report of BAA directly connecting pulmonary artery in the English literature. A 63-year-old female was found a BAA, 2 cm in diameter, connecting right A4 pulmonary artery. The patient underwent two attempts for embolization. However, due to extensive collaterals, there was persistent flow in the aneurysm. Standard lateral thoracotomy was performed. A BAA was located between A4 and A5 PA. A small branch of A4 PA was separated, and the small vessel connecting to the BAA could be ligated. A5 PA was separated similarly, however BAA was ruptured not to identify the other small vessel connecting to the BAA. After a clamp of the BAA, middle lobe lobectomy was performed. We removed the aneurysm with dilated bronchial artery connecting to the aneurysm. The postoperative course was uneventful.

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Figures

Fig. 1
Fig. 1
Bronchoscopy revealed a submucous elevated lesion (**) in the right middle bronchus. RML: right middle lobe; RLL: right lower lobe
Fig. 2
Fig. 2
3-D CT demonstrated an aneurysm (*) with racemose hemangioma (**) (a), and the aneurysm located between A4 and A5 connecting a narrow vessel (b).
Fig. 3
Fig. 3
A small branch of A4 was separated, and the small vessel connecting to the BAA (*) could be ligated. A5 was separated similarly, however BAA was ruptured not to identify the other small vessel connecting to the BAA (**). BAA: bronchial artery aneurysm; RUL: right upper lobe; PA: pulmonary artery
See this image and copyright information in PMC

References

    1. Kuwahara O, Takeda S, Dohi H, et al. A rare case of primary racemose hemangioma of the bronchial artery anastomosed with pulmonary artery. J Jpn Soc Bronchol 1998; 10: 170-4.
    1. Shimokawaji T, Kobayashi H, Kawano S, et al. A case of idiopathic bronchial artery aneurysm connecting to the pulmonary artery. Nippon Kokyuki Gakkai Zasshi 2008; 46: 202-5. - PubMed
    1. Saito Y, Ueda Y, Imamura H, et al. Operative aneurysmectomy and middle lobectomy for asymptomatic bronchial artery aneurysm in young patient. Euro J Cardiothorac Surg 2000; 18: 366-9. - PubMed
    1. Cao DB, Yang SR, Pan RD, et al. Bronchial artery aneurysms and bronchial artery-pulmonary artery fistula. Euro J Cardiothorac Surg 2012; 42: e21. - PubMed
    1. Lin J, Wood DE. Bronchial artery aneurysm refractory to transcatheter embolization. Ann Thorac Surg 2008; 86: 306-8. - PubMed

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