Bronchial artery pseudoaneurysm with symptomatic mediastinal hematoma

Published:February 10, 2014DOI:



      To discuss the rare finding of bronchial artery aneurysms and pseudoaneurysms as well as describing available endovascular treatment options.

      Case report

      A 61-year-old male presented to the emergency department and was found to have a paraesophageal hematoma and 1cm bronchial artery pseudoaneurysm. The patient was taken for successful endovascular exclusion by embolization.


      Bronchial artery pseudoaneurysms are rare but have a chance of rupture. Percutaneous embolization is a reasonable treatment option for these patients.


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        • Tanka K
        • Ihaya A
        • Horiuci T
        • Morioka K
        • Kimura T
        • Uesaka T
        • Sasaki M
        • Uchinami M
        • Tsuda T
        • Yamada N
        • Li W
        • Hirai S
        • Tanabe S
        • Okubo Y
        • Tanaka S
        Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature.
        J Vasc Surg. 2003; 38: 1125-1129
        • Lioulias A
        • Misthos P
        • Kokotsakis J
        • Papagiannakis G
        • Skouteli E
        Recurrent massive hemoptysis due to postbronchotomy bronchial artery aneurysm: a case report.
        Can Respir J. 2008; 15: 127-128
        • Mizuguchi S
        • Inoue K
        • Kida A
        • Isota M
        • Hige K
        • Aoyama T
        • Ishikawa T
        Ruptured Bronchial Artery aneurysm associated with bronchiectasis: a case report.
        Ann Thorac Cardiovasc Surg. 2009; 15: 115-118
        • Misselt A
        • Krowka M
        • Misra S
        Successful coil embolization of mediastinal bronchial artery aneurysm.
        Ann Thorac Cardiovasc Surg. 2009; 15: 115-118
        • Cearlock JR
        • Fontaine AB
        • Urbaneja A
        • Spigos DG
        Endovascular treatment of a posttraumatic bronchial artery pseudoaneurysm.
        J Vasc Interv Radiol. 1995; 6: 495-496
        • Kalangos A
        • Khatchatourian G
        • Panos A
        • Faidutti B
        Ruptured mediastinal bronchial artery aneurysm: a dilemma of diagnosis and therapeutic approach.
        J Thorac Cardiovasc Surg. 1997; 114: 853-856
        • Kalina F
        • Giberson F
        Hemoptysis secondary to pulmonary artery pseudoaneurysm after necrotizing pneumonia.
        Ann Thorac Surg. 2007; 84: 1386-1387
        • Fukunaga A
        • Okushiba S
        • Ohno K
        • Kitashiro S
        • Kawarada Y
        • Shitinohe T
        • Kondo S
        • Katoh H
        Mediastinal bronchial artery aneurysm with hematemesis.
        Dis esophagus. 2003; 16: 328-331
        • Lin J
        • Wood DE
        Bronchial artery aneurysm refractory to transcatheter embolization.
        Ann Thorac Surg. 2008; 86: 306-308
        • Misselt A
        • Krowka M
        • Misra S
        Successful coil embolization of mediastinal bronchial artery aneurysm.
        J Vasc Interv Radiol. 2010; 21: 295-296
        • Reade CC
        • Jenkins NL
        • Bard MR
        • Kuszyk BS
        • Koutlas TC
        • Rotondo MF
        Immediate diagnosis and nonoperative treatment of a pulmonary artery pseudoaneurysm after blunt traumatic injury.
        J Trauma. 2006; 60: 894-896
        • You CK
        • Whatley GS
        Swan-Ganz catheter-induced pulmonary artery pseudoaneurysm: a case of complete resolution without intervention.
        Can J Surg. 1994; 37: 420-427
        • Garg A
        • Chandrasekaran K
        • Jadhav S
        • Chandok G
        • Ringe A
        • Sankhe A
        Intra-aneurysmal glue embolisation of a giant pulmonary artery pseudoaneurysm after left upper lobe lobectomy: case report.
        Korean J Radiol. May-Jun 2013; 14: 455-459
        • Dallaudière B
        • Hummel V
        • Pierre Laissy J
        The use of covered stents for treatment of pulmonary artery pseudoaneurysms.
        J Vasc Interv Radiol. Feb 2013; 24: 296-298
        • Sridhar SK
        • Sadler D
        • McFadden SD
        • Ball CG
        • Kirkpatrick AW
        Percutaneous embolization of an angiographically inaccessible pulmonary artery pseudoaneurysm after blunt chest trauma: a case report and review of the literature.
        J Trauma. Sep 2010; 69: 729