Open AccessBronchial artery laceration and haemothorax complicating transbronchial needle aspiration
Author(s) -
Grier William,
KalchiemDekel Or,
Jeudy Jean,
Holden Van,
Sachdeva Ashutosh,
Pickering Edward
Publication year - 2020
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.497
Subject(s) - medicine , thoracostomy , radiology , hilum (anatomy) , malignancy , bronchial artery , endobronchial ultrasound , angiography , bronchoscopy , surgery , embolization , pneumothorax , pathology
A 74‐year‐old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)‐guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left‐sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs) with contrast blush into the left lung hilum. Tube thoracostomy and pleural fluid analysis confirmed the diagnosis of haemothorax. The mechanism of injury was determined to be BA laceration during EBUS‐TBNA and drainage led to rapid improvement in the patient's symptoms. This is the first reported case of haemothorax due to BA injury during EBUS‐TBNA.