J Korean Soc Radiol.  2011 Mar;64(3):245-248. 10.3348/jksr.2011.64.3.245.

Bronchial Artery Aneurysm Treated with NBCA: A Case Report

• Kim SJ
• Kim JH
• Cho WH
• Jeong MJ
• Kim SH
• Kim JY
• Kim SH
• Kang MJ
• Cho HS
• Lee J

• KMID: 2097945
• DOI: http://doi.org/10.3348/jksr.2011.64.3.245

Abstract

Bronchial artery aneurysm is a very rare entity. Until the last decade, bronchial artery aneurysm was usually treated by surgery, but transcatheter embolization has become the first choice for treating bronchial artery aneurysm. Various embolic materials were used in the previous reports, yet embolization with N-butyl-2-cyanoacrylate (NBCA) is uncommon. Thus, we report here on a case of bronchial artery aneurysm that was successfully treated with NBCA.

MeSH Terms

Aneurysm
Bronchial Arteries
Embolization, Therapeutic
Enbucrilate
Tomography, X-Ray Computed
Enbucrilate

Figure

• 

  Fig. 1 A 75-year-old man with bronchial artery aneurysm. A. Chest contrast-enhanced CT scan shows a round enhancing lesion at the origin of left bronchial artery with enlarged bronchial arteries. B. Left anterior oblique bronchial angiogram shows afferent vessel (arrow), bronchial artery aneurysm and origin of efferent vessel. C. Left anterior oblique bronchial angiogram shows bronchial artery aneurysm with tortuous efferent vessel (large arrow). The bronchial artery aneurysm forms a fistula (arrowheads) with part of the pulmonary artery (small arrows). D. Bronchial angiogram after embolization shows occlusion of afferent vessel, aneurysm, efferent vessel. Some pulmonary arterial branches are also embolized.

Reference

1. Aburano H, Kawamori Y, Horiti Y, Kitagawa K, Sanada J, Matsui O. Bronchial artery aneurysm embolization with NBCA. Cardiovasc Intervent Radiol. 2006; 29:1141–1143.

2. Pugnale M, Portier F, Lamarre A, Halkic N, Riis HB, Wicky S, et al. Hemomediastinum caused by rupture of a bronchial artery aneurysm : successful treatment by embolization with N-butyl-2-cyanoacrylate. J Vasc Interv Radiol. 2001; 12:1351–1352.

3. Tanaka K, Ihaya A, Horiuci T, Morioka K, Kimura T, Uesaka T, et al. Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature. J Vasc Surg. 2003; 38:1125–1129.

4. Sakai T, Razavi MK, Semba CP, Kee ST, Sze DY, Dake MD. Percutaneous treatment of bronchial artery aneurysm with use of transcatheter coil embolization and thoracic aortic stent-graft placement. J Vasc Interv Radiol. 1998; 9:1025–1028.

5. 2007. p. 123–132.

6. Byrne J. Review article: endovascular treatments for intracranial aneurysms. Br J Radiol. 1996; 69:891–899.

7. Kish JW, Katz MD, Marx MV, Harrell DS, Hanks SE. N-butyl cyanoacrylate embolization for control of acute arterial hemorrhage. J Vasc Interv Radiol. 2004; 15:689–695.