Pseudoaneurysm of a Bronchial Artery: An Unusual Cause of Chest Pain

  • Pepijn Van Hove Internal Medicine, University Hospital Antwerp, Antwerp, Belgium
  • Thomas Jardinet Department of Interventional Radiology, University Hospital Antwerp, Antwerp, Belgium

Keywords

Bronchial artery pseudoaneurysm, mediastinal haematoma, digital subtraction angiography, embolization

Abstract

We report a case of a bronchial artery pseudoaneurysm presenting as acute retrosternal pain. We want to discuss and to announce the extremely rare finding of a bronchial artery pseudoaneurysm. Bronchial artery aneurysms and pseudoaneurysms are uncommon; however, missing this diagnosis is associated with significant morbidity and mortality. When suspecting this pathology urgent CT angiography and selective angiography (DSA) are crucial. Urgent treatment with transarterial embolization is preferred.

VIEW THE ENTIRE ARTICLE

References

  • Le-Jun F, Sun Y, Fan Y, Jin S. The effect of transcatheter bronchial artery embolization in five patients with bronchial artery aneurysm. Postepy Kardiol Interwencyjnej 2020;16(3):330–335.
  • Restrepo CS, Carswell AP. Aneurysms and pseudoaneurysms of the pulmonary vasculature. Semin Ultrasound CT MR 2012;33(6):552–566.
  • Cearlock JR, Fontaine AB, Urbaneja A, Spigos DG. Endovascular treatment of a posttraumatic bronchial artery pseudoaneurysm. J Vasc Interv Radiol 1995;6(3):495–496.
  • Koirala A, Thapa A, Mahat S, Sapkota S, Sosa O. A rare case of ruptured bronchial artery pseudoaneurysm and its nonsurgical management with interventional techniques. Cureus 2020;12(9):e10502.
  • Kaufman C, Kabutey NK, Sgroi M, Kim D. Bronchial artery pseudoaneurysm with symptomatic mediastinal hematoma. Clin Imaging 2014;38(4):536–539.
  • Kabilan K, Gulati M, Banday IA, Tyagi R, Bhalla AS, Naranje P, et al. Myriad faces of active tuberculosis: intrapulmonary bronchial artery pseudoaneurysm. Vasc Endovascular Surg 2022;56(2):212–215.
  • Kalra-Lall A, Donaldson J, Martin C 3rd. Brief review: pulmonary artery aneurysms and pseudoaneurysms. Int J Cardiovasc Imaging 2019;35(7):1357–1364.
  • Published: 2022-02-17

    Issue: 2022: Vol 9 No 2 (view)

    Section: Articles

    How to cite:
    1.
    Van Hove P, Jardinet T. Pseudoaneurysm of a Bronchial Artery: An Unusual Cause of Chest Pain. EJCRIM 2022;9 doi:10.12890/2022_003195.