Ruptured Bronchial Artery Aneurysm Treated With Aortic Stent Graft and Aneurysm Embolization

Author(s): Zhiwei Xu, Ye Kong, Chuanxian Hu, Su Huang*, Yan Tan*.

Journal Name: Current Medical Imaging

Volume 15 , Issue 1 , 2019

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Abstract:

Background: Mediastinal bronchial artery aneurysms are uncommon, with fewer than 40 published case reports. This study objective was to evaluate the short term follow up of two cases ruptured Bronchial Artery Aneurysm (rBAA) treated with aneurysm embolization and subsequent aortic stent graft.

Methods: Two cases of rBAA were treated with a combination of an aortic stent-graft and aneurysm embolization. With rBAA, aneurysm embolization could be performed with sodium polymannuronate until the aneurysm was almost completely packed. One of the limitations of aneurysm embolization is spontaneous recanalization of previously occluded aneurysm. So a stent-graft was deployed to isolate the feeding artery of the rBAA from the descending aorta. The 3 months follow- up after the procedure included chest or back pain and computed tomographic angiography.

Results: The hospital stays of the 2 cases were 5 and 7 days. Chest or back pain was disappeared. There were no hospital deaths and late deaths. Computed tomographic angiogram showed no recanalization and no hemothorax. These 2 patients have not reported any complications up to now.

Conclusion: Aortic stent graft combined with aneurysm embolization is a minimally invasive, effective and safe method for rBAA.

Keywords: Ruptured bronchial artery aneurysm, endovascular interventional treatment, embolization, stent-graft, aortic stentgraft, computed tomographic angiogram.

[1]
Zhang LJ, Yang GF, Lu GM. Noninvasive diagnosis of bronchial artery aneurysm using dual-source computed tomography angiography. Acta Radiol 2008; 49: 291-4.
[2]
Lu PH, Wang LF, Su YS, et al. Endovascular therapy of bronchial artery aneurysm: Five cases with six aneurysms. Cardiovasc Intervent Radiol 2011; 34: 508-12.
[3]
Tanaka K, Ihaya A, Horiuci T, et al. Giant mediastinal bronchial artery anenrysm mimicking benign esophageal tumor: A case report and review of 26 cases from literature. J Vasc Surg 2003; 38: 1125-9.
[4]
Hori D, Noguchi K, Nomura Y, Tanaka H. Successful endovascular treatment of ruptured bronchial artery aneurysm. Asian Cardiovasc Thorac Ann 2013; 21: 615-7.
[5]
Takahashi Y, Tsutsumi Y, Monta O, et al. Stent grafting for giant bronchial artery aneurysm disguised as an aneurysm with multiple feeding arteries. Ann Thorac Surg 2010; 89: 1652-4.
[6]
Kalangos A, Khatchatourian G, Panos A, Faidutti B. Ruptured mediastinal bronchial artery aneurysm: A dilemma of diagnosis and therapeutic approach. J Thorac Cardiovasc Surg 1997; 114: 853-6.
[7]
Yajima N, Tsutsui H, Yoshioka T, et al. Gigantic bronchial artery aneurysm treated with transcatheter arterial embolization: A case report. Angiology 2009; 59: 757-60.
[8]
Lin J, Wood DE. Bronchial artery aneurysm refractory to transcatheter embolization. Ann Thorac Surg 2008; 86: 306-8.


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Article Details

VOLUME: 15
ISSUE: 1
Year: 2019
Page: [74 - 77]
Pages: 4
DOI: 10.2174/1573405613666170926164225
Price: $58

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