Hemomediastinum due to spontaneous rupture of a mediastinal bronchial artery aneurysm – A rare cause of thoracic pain
| Autor: | Bettine A. H. Vosse, G.J. de Vries, A.F. van Belle, Marco Das |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Spontaneous rupture lcsh:RC705-779 medicine.medical_specialty business.industry Bronchial artery aneurysm Thoracic pain Case Report lcsh:Diseases of the respiratory system medicine.disease Malignancy Hemomediastinum Extrinsic compression Surgery Aneurysm medicine.anatomical_structure Superselective transcatheter embolization medicine.artery medicine Radiology Esophagus business Bronchial artery Pathological |
| Zdroj: | Respiratory Medicine Case Reports, Vol 12, Iss C, Pp 27-29 (2014) Respiratory Medicine Case Reports |
| ISSN: | 2213-0071 |
| DOI: | 10.1016/j.rmcr.2013.12.012 |
| Popis: | 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: | OpenAIRE |
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