Successful transcatheter arterial embolization in an asymptomatic patient with primary racemose hemangioma of the bronchial artery
| Autor: | Atsushi Sasaki, Koichiro Tatsumi, Daisuke Ishii, Masaki Suga, Toshihiko Sugiura, Yaeko Hashimoto, Hajime Kasai |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Primary racemose hemangioma RHBA primary racemose hemangioma of the bronchial artery Case Report Long segment ID inner diameter Asymptomatic Bronchial arteriography 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Bronchial arterial embolization lcsh:RC705-779 Racemose hemangioma Bronchial artery N-Butyl-2-cyanoacrylate business.industry Arterial Embolization BAE bronchial arterial embolization lcsh:Diseases of the respiratory system respiratory system CT computed tomography NCBA N-butyl-2-cyanoacrylate respiratory tract diseases 030228 respiratory system 030220 oncology & carcinogenesis Pulmonary artery Radiology medicine.symptom Complication business |
| Zdroj: | Respiratory Medicine Case Reports, Vol 30, Iss, Pp 101060-(2020) Respiratory Medicine Case Reports |
| ISSN: | 2213-0071 |
| DOI: | 10.1016/j.rmcr.2020.101060 |
| Popis: | An asymptomatic 70-year-old woman presented with a nodular lesion overlapping the pulmonary artery at the right hilar region on a chest X-ray. Bronchial arteriography revealed an aneurysmal dilation of the long segment of the right bronchial artery and a shunt from the right bronchial artery to the right lower pulmonary artery. She was diagnosed with primary racemose hemangioma of the bronchial artery (RHBA). Considering the risk of hemoptysis, we performed a bronchial arterial embolization (BAE) using coils and N-butyl-2-cyanoacrylate. She had no complication after the BAE and no recurrences of hemoptysis at the 36-month follow-up. RHBA should be considered in case of aneurysmal dilation in the long segment of the bronchial artery, and BAE should be considered as a treatment strategy despite the absence of symptoms. Highlights • Primary racemose hemangioma of the bronchial artery (RHBA) has a risk of hemoptysis. • RHBA should be included in differential diagnosis as a nodular lesion overlapping the pulmonary artery at the hilar region. • Computed tomography and bronchial arteriography aids in the diagnosis of RHBA. • Bronchial arterial embolization should be considered in asymptomatic RHBA patients. |
| Databáze: | OpenAIRE |
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