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Case Reports
. 2022 Sep 29;10(11):e01048.
doi: 10.1002/rcr2.1048. eCollection 2022 Nov.

Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery

Rikako Horie  1 , Kensuke Sekiya  1 , Junichi Funada  1
Affiliations
Case Reports

Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery

Rikako Horie et al. Respirol Case Rep. .

Abstract

A 79-year-old male with bronchiectasis was referred to our clinic because of mild chest tightness on exertion. He had no history of hemoptysis. An electrocardiogram showed ST segment depression in leads V5-6. Multi-detector contrast-enhanced computed tomography revealed no significant stenosis in either coronary artery; however, a huge racemose hemangioma of the bronchial artery (RHBA) was detected. In addition, arterial supply to the RHBA via the right coronary artery (RCA) and the left internal thoracic artery (LITA) was suspected. Adenosine-loading myocardial scintigraphy images revealed segmental hypo-perfusion in the left ventricular inferior wall. Selective bronchial artery angiography revealed the huge RHBA. In addition, both the RCA and LITA provided arterial supply to the RHBA. To the best of our knowledge, this case is the first to show multiple arterial supply resulting in a huge RHBA.

Keywords: angiography; bronchial Dieulafoy's disease; bronchial artery; coronary steal phenomenon; racemose hemangioma.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
(A) An electrocardiogram showing ST depression in leads V5, 6 (red arrows). (B) Multi‐detector contrast‐enhanced computed tomography (CCT) showing accumulation of enhanced vasculatures (red circle), indicating a racemose hemangioma of the bronchial artery. (C) Adenosine‐loading myocardial scintigraphy showing hypo‐perfusion in the inferior wall of the left ventricle (red arrows)
FIGURE 2
FIGURE 2
Selective bronchial artery angiography (A, digital subtraction image) showing the main body of the huge racemose hemangioma of the bronchial artery (RHBA). Right coronary artery (RCA) and left internal thoracic artery (LITA) angiography images showing the arterial supply to the RHBA (B, C)
See this image and copyright information in PMC

References

    1. Qian X, Du Q, Wei N, Wang M, Wang H, Tang Y. Bronchial Dieulafoy's disease: a retrospective analysis of 73 cases. BMC Pulm Med. 2019;19:104. - PMC - PubMed
    1. Xing X, Liu J, Xu S, Deng Y, Yang J. Research advances in Dieulafoy's disease of the bronchus (review). Exp Ther Med. 2022;23:100. - PMC - PubMed
    1. Kato M, Morio Y, Matsunaga T, Shiraishi A, Uekusa T, Takahashi K. Bronchial‐pulmonary arterial fistula with primary racemose hemangioma. Respirol Case Rep. 2016;4:e00148. - PMC - PubMed
    1. Huang Z, Liu Z, Ye S. The role of the fractional flow reserve in the coronary steal phenomenon evaluation caused by the coronary‐pulmonary fistulas: case report and review of the literature. J Cardiothorac Surg. 2020;15:32. - PMC - PubMed
    1. Ito A, Takao M, Shimamoto A, Shimpo H. Primary racemose hemangioma with bronchial‐pulmonary arterial fistula. Respirol Case Rep. 2018;6:e00314. - PMC - PubMed

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