| Autor: |
Vosse BA; Department of Respiratory Medicine, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands., van Belle AF; Department of Respiratory Medicine, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands., de Vries GJ; Department of Respiratory Medicine, Orbis Medical Center, Sittard-Geleen, The Netherlands., Das M; Department of Radiology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands. |
| Jazyk: |
angličtina |
| Zdroj: |
Respiratory medicine case reports [Respir Med Case Rep] 2014 Mar 14; Vol. 12, pp. 27-9. Date of Electronic Publication: 2014 Mar 14 (Print Publication: 2014). |
| DOI: |
10.1016/j.rmcr.2013.12.012 |
| Abstrakt: |
Hemomediastinum is a rare pathological event. Multiple underlying causes and contributory factors can be identified, such as trauma, malignancy, iatrogenic, bleeding disorder or mediastinal organ hemorrhage. Also, a mediastinal bronchial artery aneurysm may be the source of a hemomediastinum. Hemoptysis is an important directive symptom, however occasionally, patients only present with thoracic pain or symptoms related to extrinsic compression of the airways or esophagus. Using contrast-enhanced computed tomography (CT) of the chest, hemomediastinum can be adequately diagnosed, and the involved vascular structures can be revealed. In case of a (ruptured) bronchial artery aneurysm, transcatheter embolization provides a minimally invasive procedure and is treatment of first choice. In this case report, a 76-year-old female is presented with spontaneous rupture of a mediastinal bronchial artery aneurysm resulting in hemomediastinum causing thoracic pain. Superselective embolization of the left bronchial artery was successfully performed. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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