Open AccessGrowth of Mediastinal Bronchial Artery Aneurysms in a Patient With Bronchiectasis
Author(s) -
Yoshimi Noda,
Seigo Minami,
Yoshihumi Nishida,
Kiyoshi Komuta
Publication year - 2019
Publication title -
journal of medical cases
Language(s) - English
Resource type - Journals
eISSN - 1923-4163
pISSN - 1923-4155
DOI - 10.14740/jmc3359
Subject(s) - medicine , bronchiectasis , bronchial artery , radiology , aneurysm , mediastinal lymphadenopathy , angiography , computed tomography , embolization , lung
Mediastinal bronchial artery aneurysm (BAA) is a rare and life-threatening disease. We experienced the first case confirming that, despite only slight deterioration of bronchiectasis, mediastinal BAAs expanded remarkably. A 61-year-old female was hospitalized because of hemoptysis. Her respiratory condition required intubated mechanical ventilation. Bronchial artery angiography unexpectedly found unruptured mediastinal BAAs. These BAAs were enlarged compared with those seen in a computed tomography (CT) taken 5 years before. We successfully embolized both BAAs and peripheral arteries. Mediastinal BAAs are capable of increasing more rapidly than a slightly deteriorated underlying bronchiectasis. For rapid and accurate diagnosis of BAA, bronchial artery angiography is important.