A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair

Bronchial artery aneurysms (BAA) are a rare but potentially life-threatening complications because of the massive hemothorax or hemoptysis that occurs with ruptures. A 79-year-old woman was transferred to our hospital because of the sudden onset of back pain, syncope, and subsequent hypotension. Com...

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Detalles Bibliográficos
Autores principales: Kikutani, Kazuya, Itai, Junji, Ota, Kohei, Chosa, Keigo, Yamane, Yoshitaka, Shime, Nobuaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303459/
https://www.ncbi.nlm.nih.gov/pubmed/32074575
http://dx.doi.org/10.2169/internalmedicine.4004-19
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author Kikutani, Kazuya
Itai, Junji
Ota, Kohei
Chosa, Keigo
Yamane, Yoshitaka
Shime, Nobuaki
author_facet Kikutani, Kazuya
Itai, Junji
Ota, Kohei
Chosa, Keigo
Yamane, Yoshitaka
Shime, Nobuaki
author_sort Kikutani, Kazuya
collection PubMed
description Bronchial artery aneurysms (BAA) are a rare but potentially life-threatening complications because of the massive hemothorax or hemoptysis that occurs with ruptures. A 79-year-old woman was transferred to our hospital because of the sudden onset of back pain, syncope, and subsequent hypotension. Computed tomography showed a left BAA with bilateral hemothorax and hemomediastinum. Transcatheter bronchial artery embolization failed because of the anatomical location, and she went into cardiopulmonary arrest. Cardiopulmonary resuscitation was performed with successful revival. Urgent thoracic endovascular aortic repair to cover the root of the left bronchial artery was successful, and she survived without any neurological deficits.
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spelling pubmed-73034592020-06-23 A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair Kikutani, Kazuya Itai, Junji Ota, Kohei Chosa, Keigo Yamane, Yoshitaka Shime, Nobuaki Intern Med Case Report Bronchial artery aneurysms (BAA) are a rare but potentially life-threatening complications because of the massive hemothorax or hemoptysis that occurs with ruptures. A 79-year-old woman was transferred to our hospital because of the sudden onset of back pain, syncope, and subsequent hypotension. Computed tomography showed a left BAA with bilateral hemothorax and hemomediastinum. Transcatheter bronchial artery embolization failed because of the anatomical location, and she went into cardiopulmonary arrest. Cardiopulmonary resuscitation was performed with successful revival. Urgent thoracic endovascular aortic repair to cover the root of the left bronchial artery was successful, and she survived without any neurological deficits. The Japanese Society of Internal Medicine 2020-02-19 2020-05-15 /pmc/articles/PMC7303459/ /pubmed/32074575 http://dx.doi.org/10.2169/internalmedicine.4004-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kikutani, Kazuya
Itai, Junji
Ota, Kohei
Chosa, Keigo
Yamane, Yoshitaka
Shime, Nobuaki
A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title_full A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title_fullStr A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title_full_unstemmed A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title_short A Ruptured Mediastinal Bronchial Artery Aneurysm Treated with Urgent Thoracic Endovascular Aortic Repair
title_sort ruptured mediastinal bronchial artery aneurysm treated with urgent thoracic endovascular aortic repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303459/
https://www.ncbi.nlm.nih.gov/pubmed/32074575
http://dx.doi.org/10.2169/internalmedicine.4004-19
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