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.
Yuan LiGuang-Chao GuBao LiuJiang ShaoYu ChenYue-Hong ZhengPublished in: Vascular and endovascular surgery (2019)
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.
Keyphrases
- interstitial lung disease
- coronary artery
- pulmonary artery
- systemic sclerosis
- pulmonary hypertension
- blood flow
- endovascular treatment
- case report
- rheumatoid arthritis
- idiopathic pulmonary fibrosis
- pulmonary arterial hypertension
- abdominal aortic aneurysm
- magnetic resonance imaging
- minimally invasive
- magnetic resonance
- computed tomography
- combination therapy
- left ventricular