Chen Y, Qin W, Zhu Z, Wang X, Yu W, Li F, Li C. Interlocking detachable coil embolization for giant tandem bronchial aneurysms: A case report.
Medicine (Baltimore) 2021;
100:e28416. [PMID:
34941187 PMCID:
PMC8702262 DOI:
10.1097/md.0000000000028416]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 12/06/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE
Bronchial artery aneurysm (BAA) is a rare disease that can be life-threatening if it ruptures. Tandem connections of multiple aneurysms are even rarer and more challenging to manage.
PATIENT CONCERNS
A 46-year-old woman presented to the hospital with intermittent hemoptysis for a week. A bronchial artery computed tomographic angiography scan revealed 2 BAAs associated with bronchial artery-to-pulmonary artery fistulas in the left lung. Three-dimensional CT reconstruction showed 2 bronchial aneurysms in tandem and 1 aneurysm adjacent to the descending aorta.
DIAGNOSES
Giant tandem bronchial aneurysms were confirmed using computerized tomographic angiography.
INTERVENTIONS
Nine interlocking detachable coils and 11 standard pushable coils were introduced into aneurysms for embolization.
OUTCOMES
There was no episodes of hemoptysis. CT angiography indicated that the coils were closely knit and in their proper position 1 month later; at follow-up, the patient had no adverse effects and no recurrence of hemoptysis.
LESSONS
BAA is a rare disease that can be life-threatening if it ruptures. It should be treated aggressively to determine the presence of symptoms.
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