Korean J Thorac Cardiovasc Surg.  2011 Aug;44(4):314-317. 10.5090/kjtcs.2011.44.4.314.

Spontaneous Hemomediastinum and Hemothorax Caused by a Ruptured Bronchial Artery Aneurysm

• Seo YH
• Kwak JY

• KMID: 1447733
• DOI: http://doi.org/10.5090/kjtcs.2011.44.4.314

Abstract

A bronchial artery aneurysm (BAA) is uncommon and usually associated with chronic inflammatory lung disease or a systemic vascular condition, which is rarely the etiology of mediastinal hemorrhage. A middle-aged person presented with spontaneous hemothorax and hemomediastinum. A diagnostic evaluation identified a bronchial artery aneurysm as the source. To prevent further rupture, we performed a bronchial artery embolization. In the absence of trauma or other causes for hemothorax and mediastinal hemorrhage, the possibility of a BAA should be considered. A bronchial artery aneurysm can be managed by interventional techniques as well as surgery.

Keyword

Mediastinum; Vascular disease; Hemorrhage; Bronchial arteries; Aneurysm

MeSH Terms

Aneurysm
Bronchial Arteries
Hemorrhage
Hemothorax
Humans
Lung Diseases
Mediastinum
Rupture
Vascular Diseases