Rupture of a bronchial artery aneurysm occurs rarely and may mimic aortic dissection. A 78-year-old-man was admitted with sudden chest pain. Chest radiography showed widening of the mediastinum, suggestive of aortic dissection, but contrast-enhanced computed tomography revealed hemomediastinum and bronchial artery aneurysm. Although open surgery has been the first choice for ruptured bronchial artery aneurysm, this case was successfully treated by an endovascular procedure with the combined use of coils and a gelatin sponge.
KalangosAKhatchatourianGPanosAFaiduttiB. Ruptured mediastinal bronchial artery aneurysm: a dilemma of diagnosis and a therapeutic approach. J Thorac Cardiovasc Surg1997; 114: 853–856.
2.
TanakaKIhayaAHoriuciTMoriokaKKimuraTUesakaT. Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature. J Vasc Surg2003; 38: 1125–1129.
PugnaleMPortierFLamarreAHalkicNRiisHBWickyS. Hemomediastinum caused by rupture of a bronchial artery aneurysm: successful treatment by embolization with N-butyl-2-cyanoacrylate. J Vasc Interv Radiol2001; 12: 1351–1352.
5.
SakaiTRazaviMKSembaCPKeeSTSzeDYDakeMD. Percutaneous treatment of bronchial artery aneurysm with use of transcatheter coil embolization and thoracic aortic stent-graft placement. J Vasc Interv Radiol1998; 9: 1025–1028.
6.
LuPHWangLFSuYSLeeDHWangSXSunL. Endovascular therapy of bronchial artery aneurysm: five cases with six aneurysms. Cardiovasc Intervent Radiol2011; 34: 508–512.
