Bronchial arterial aneurysm

Case contributed by Dr Mahomed A. Osman

Presentation

Haemoptysis.

Patient Data

Gender: Male
Modality: X-ray

The right hilum is bulky, especially inferiorly with the normal pulmonary vasculature poorly seen. Minor patchy opacities is seen in the medial basal aspect of the right lung. 

Modality: CT

The right hilum demonstrates a rounded mass with heterogenous attenuation closely related to the right lower lobe bronchus. Right sided infrahilar airspace infiltrates are present, with extension to the pleura in some areas, representing areas of pulmonary haemorrhage.

Modality: DSA (angiography)

A microcatheter has been inserted into the right bronchial artery. Contrast injection demonstrates a tortuous and dilated artery supplying the right lower lobe.  After extensive discussion with the thoracic surgery team, the decision to perform a bronchial angiogram and embolization.

The second image demonstrates placement of two coils in the proximal segment of the right bronchial artery, with no distal flow. The artery has been successfully embolised.

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Case Information

rID: 22293
Case created: 25th Mar 2013
Last edited: 4th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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