Scholarlink

<p>Bronchial artery pseudoaneurysm (BAP), pathologically defined as a contained hematoma, is a rare pathology with few reported cases (approximately 60) in the literature. In circumstances where patients are critically ill, prompt diagnosis and treatment are required. A 73-year-old woman with a history of coronary artery disease and interstitial lung disease presented with chest pain and dyspnea. She was hypotensive and anemic on arrival. Computed tomography (CT) angiography revealed a ruptured bronchial artery pseudoaneurysm with a large mediastinal hematoma. Endovascular embolization using N-butyl cyanoacrylate (NBCA) glue and Lipiodol achieved successful occlusion of the pseudoaneurysm. Computed tomographic angiography (CTA) is the investigation of choice to screen for the disease, with digital subtraction angiography (DSA) being the gold standard for confirmation and guiding management. With recent advances in interventional procedures and vascular access techniques, transcatheter embolization has become the first-line management option for managing these cases. In this case report, the pertinent anatomy, work-up, imaging findings, and&#xa0;overview of the interventional procedure technique are discussed.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Endovascular embolization of a ruptured bronchial artery pseudoaneurysm in an elderly female

  • 期刊论文

  • 发表日期：

    2026年2月21日

查看全文
  • Gaurav Cheraya,
  • Samay Prakash,
  • Siddhi Hegde,
  • Neha Cheraya,
  • Pranav Sharma

摘要

Bronchial artery pseudoaneurysm (BAP), pathologically defined as a contained hematoma, is a rare pathology with few reported cases (approximately 60) in the literature. In circumstances where patients are critically ill, prompt diagnosis and treatment are required. A 73-year-old woman with a history of coronary artery disease and interstitial lung disease presented with chest pain and dyspnea. She was hypotensive and anemic on arrival. Computed tomography (CT) angiography revealed a ruptured bronchial artery pseudoaneurysm with a large mediastinal hematoma. Endovascular embolization using N-butyl cyanoacrylate (NBCA) glue and Lipiodol achieved successful occlusion of the pseudoaneurysm. Computed tomographic angiography (CTA) is the investigation of choice to screen for the disease, with digital subtraction angiography (DSA) being the gold standard for confirmation and guiding management. With recent advances in interventional procedures and vascular access techniques, transcatheter embolization has become the first-line management option for managing these cases. In this case report, the pertinent anatomy, work-up, imaging findings, and overview of the interventional procedure technique are discussed.