Two Cases of Bronchial Artery Racemose Hemangioma Successfully Treated with Bronchial Artery Embolization
| Autor: | Riko Maejima, Shoji Yokobori, Toru Takiguchi, Masaaki Inoue, Ryuta Nakae, Shiei Kim, Natsuki Hashiba, Hidetaka Onda, Daisuke Yasui |
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| Rok vydání: | 2022 |
| Předmět: |
Racemose hemangioma
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Interventional radiology General Medicine respiratory system medicine.disease respiratory tract diseases Aneurysm Respiratory failure medicine.artery medicine Back pain Intubation Radiology Embolization medicine.symptom Bronchial artery business |
| Zdroj: | Journal of Nippon Medical School. 89:594-598 |
| ISSN: | 1347-3409 1345-4676 |
| Popis: | Rupture of a racemose hemangioma causing dilatation and tortuosity of the bronchial artery can result in massive bleeding and respiratory failure. Bronchial artery embolization (BAE) can treat this life-threatening condition, as we show in two cases. The first case was of an 89-year-old female complaining of sudden-onset chest and back pain. Bronchial artery angiography demonstrated a racemose hemangioma with a 2 cm aneurysm. The second case was of a 50-year-old male with hemoptysis and dyspnea, eventually requiring intubation. Bronchial arteriography showed a racemose hemangioma and a bronchial artery-pulmonary arterial fistula. BAE was successfully performed in both cases, with no recurrent hemorrhage. Therapeutic interventions in bronchial artery racemose hemangiomas include lobectomy or segmentectomy, bronchial arterial ligation, and BAE. BAE should be considered as first-line therapy for bleeding racemose hemangiomas of the bronchial artery because of its low risk of adverse effects on respiratory status, minimal invasiveness, and faster patient recovery. |
| Databáze: | OpenAIRE |
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