Mediastinal Bronchial Artery Aneurysm Treated With a Stent-Graft

Purpose: To report a rare case of mediastinal bronchial artery aneurysm successfully treated with an endovascular stent-graft. Case Report: A 79-year-old man with a history of tuberculosis was admitted to our hospital complaining of worsening hoarseness. Examination revealed a large mediastinal bronchial artery aneurysm located near the origin of the artery. Since neither surgical intervention nor transcatheter embolization was feasible, an endovascular stent-graft repair was performed using a newly developed stent-graft constructed from a nitinol stent and a thin membrane of polyester. Postprocedural angiography showed satisfactory exclusion of the aneurysm. The patient made an uneventful recovery. The 18-month computed tomographic scan documented continued exclusion of the aneurysm, with no evidence of endoleak, graft thrombosis, or migration. Conclusions: When conventional procedures are too complicated for bronchial artery aneurysms, endovascular stent-graft repair can be a useful approach.

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Bronchial Artery Aneurysm Treated Using Aortic Stent Graft Alone: A Case Report

Annals of Vascular Diseases ◽

10.3400/avd.cr.16-00091 ◽

2017 ◽

Vol 10 (2) ◽

pp. 152-154 ◽

Cited By ~ 2

Author(s):

Takashi Matsumoto ◽

Takayuki Uchida ◽

Tomoyuki Ono ◽

Kazuto Hirayama ◽

Fumio Fukumura ◽

...

Keyword(s):

Case Report ◽

Stent Graft ◽

Bronchial Artery ◽

Artery Aneurysm ◽

Bronchial Artery Aneurysm ◽

Aortic Stent Graft

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Treatment of a Bronchial Artery Aneurysm with Placement of an Aortic Thoracic Stent-graft

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2016.02.014 ◽

2016 ◽

Vol 51 (5) ◽

pp. 717 ◽

Cited By ~ 3

Author(s):

B. Fiorucci ◽

G. Simonte

Keyword(s):

Stent Graft ◽

Bronchial Artery ◽

Artery Aneurysm ◽

Bronchial Artery Aneurysm ◽

Thoracic Stent Graft

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Ruptured Bronchial Artery Aneurysm Treated With Aortic Stent Graft and Aneurysm Embolization

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405613666170926164225 ◽

2018 ◽

Vol 15 (1) ◽

pp. 74-77

Author(s):

Zhiwei Xu ◽

Ye Kong ◽

Chuanxian Hu ◽

Su Huang ◽

Yan Tan

Keyword(s):

Back Pain ◽

Stent Graft ◽

Bronchial Artery ◽

Artery Aneurysm ◽

Study Objective ◽

Bronchial Artery Aneurysm ◽

Computed Tomographic ◽

Aortic Stent Graft ◽

Aneurysm Embolization

Background: Mediastinal bronchial artery aneurysms are uncommon, with fewer than 40 published case reports. This study objective was to evaluate the short term follow up of two cases ruptured Bronchial Artery Aneurysm (rBAA) treated with aneurysm embolization and subsequent aortic stent graft. Methods: Two cases of rBAA were treated with a combination of an aortic stent-graft and aneurysm embolization. With rBAA, aneurysm embolization could be performed with sodium polymannuronate until the aneurysm was almost completely packed. One of the limitations of aneurysm embolization is spontaneous recanalization of previously occluded aneurysm. So a stent-graft was deployed to isolate the feeding artery of the rBAA from the descending aorta. The 3 months follow- up after the procedure included chest or back pain and computed tomographic angiography. Results: The hospital stays of the 2 cases were 5 and 7 days. Chest or back pain was disappeared. There were no hospital deaths and late deaths. Computed tomographic angiogram showed no recanalization and no hemothorax. These 2 patients have not reported any complications up to now. Conclusion: Aortic stent graft combined with aneurysm embolization is a minimally invasive, effective and safe method for rBAA.

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