scholarly journals Postoperative hemorrhage from racemose hemangioma of the bronchial artery after esophageal cancer surgery

2017 ◽  
Author(s):  
Katsushi Takebayashi ◽  
Yasuhiro Tsubosa ◽  
Satoru Matsuda ◽  
Keisuke Kawamorita ◽  
Masahiro Niihara ◽  
...  
Keyword(s):  
Rare Disease ◽  
Bronchial Artery ◽  
Arterial Embolization ◽  
Postoperative Hemorrhage ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Endoscopic Screening ◽  
Cervical Incision ◽  
The Right ◽  
Racemose Hemangioma

Abstract Introduction: Racemose hemangioma of the bronchial artery is a rare disease. The diagnosis of racemose hemangioma is difficult when affected patients are asymptomatic, and causes unexplained hemoptysis. Selective bronchial artery embolization has become the first-line treatment for this rare disease. However, feasibility and safety of bronchial artery embolization was not reported in the case with permanent tracheostomy. Case presentation: A 44-year-old woman underwent endoscopic screening during which a circular tumor was detected in the cervical esophagus, which was confirmed as squamous cell carcinoma on biopsy. She underwent cervical esophagectomy with pharyngolaryngectomy through a cervical incision. Reconstruction was performed by free jejunal transfer and permanent tracheostomy. Six weeks after surgery, hemoptysis from permanent tracheostomy was observed. Computed tomography (CT) scan revealed no bleeding around the tracheostomy, and bronchoscopy could not identify the origin of the bleeding due to a large amount of blood clots obscuring the visual field. Bronchial arteriography showed a bent, meandering and dilated bronchial artery, extending to the right bronchus with vascular hyperplasia. We diagnosed primary racemose hemangioma of the bronchial artery, which was successfully treated by transcatheter arterial embolization of the bronchial artery. After embolization, bronchoscopy revealed no bleeding. Conclusion: Findings from this case suggest that bronchial angiography is essential for diagnosis of this disease, and selective bronchial artery embolization appears to be effective in treating this disease in patients with permanent tracheostomy. Accumulation of similar cases will help to elucidate the optimal diagnosis and treatment strategy for this condition.

Successful Treatment of Bronchial Artery Aneurysms Associated With Racemose Hemangioma by Combined Therapy of Transcatheter Bronchial Artery Embolization and Thoracic Endovascular Aortic Repair

2020 ◽  
Vol 54 (6) ◽  
pp. 540-543 ◽  
Author(s):  
Masaki Kano ◽  
Toshiya Nishibe ◽  
Toru Iwahashi ◽  
Toshiki Fujiyoshi ◽  
Jun Otaka ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Combined Therapy ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Aortic Repair ◽  
Abnormal Chest ◽  
Enhanced Computed Tomography ◽  
Racemose Hemangioma

A 70-year-old man was referred to our hospital for an abnormal chest shadow. Enhanced computed tomography (CT) revealed 2-humped bronchial artery aneurysms (BAAs) associated with racemose hemangioma. The combined therapy of transcatheter bronchial artery embolization and thoracic endovascular aortic repair was performed. Postoperative CT confirmed the complete exclusion of the aneurysms with no evidence of an endoleak. Our result suggests that this combined therapy is a safe and effective treatment for BAA.

scholarly journals Repeat Episodes of Massive Hemoptysis Due to an Anomalous Origin of the Right Bronchial Artery in a Patient with a History of Coccidioidomycosis

2021 ◽  
Vol 23 (3) ◽  
pp. 89-92
Author(s):  
Blerina Asllanaj ◽  
◽  
Elizabeth Benge ◽  
Yi McWhworter ◽  
Sapna Bhatia
Keyword(s):  
Left Subclavian Artery ◽  
Bronchial Artery ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Bronchial Arteries ◽  
History Of ◽  
Symptomatic Remission ◽  
The Right ◽  
Right Bronchial Artery

Anomalous bronchial arteries originate outside the space bound by the T5 and T6 vertebrae at the major bronchi. Here, we highlight a case of a 37-year-old man with a past medical history of coccidioidomycosis and who presented with massive hemoptysis. A bronchial angiogram showed the patient had a right bronchial artery originating anomalously from the left subclavian artery. The patient ultimately underwent a bronchial artery embolization, after which he achieved symptomatic remission.

scholarly journals A case of primary racemose hemangioma in which the disappearance of an endobronchial lesion was confirmed after bronchial artery embolization

2021 ◽  
Vol 9 (4) ◽  
pp. 1964-1967
Author(s):  
Kazumi Kawabe ◽  
Seigo Sasaki ◽  
Yuichiro Azuma ◽  
Hideya Ono ◽  
Tadatoshi Suruda ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Endobronchial Lesion ◽  
Racemose Hemangioma

scholarly journals Sequelae Tuberkulosis dengan Hemoptisis Rekurens

2019 ◽  
Vol 1 (3) ◽  
pp. 88
Author(s):  
Desilia Atikawati ◽  
Isnin Anang Marhana
Keyword(s):  
Bronchial Artery ◽  
Middle Lobe ◽  
Active Bleeding ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Vascular Abnormality ◽  
Pleural Thickening ◽  
Pulmonary Arteriography ◽  
The Right

Background: Various sequelae and complications can occur in treated or untreated tuberculosis (TB). One of complications in  the lungs is hemoptysis, due to alterations of pulmonary vascular structure. Hemoptysis as TB sequelae can happen recurrently and  massively. Case: We present the case of 31 year old man with recurrent hemoptysis since 1 year before admitted to hospital. Patient had  a history of receiving antituberculosis drugs (ATD) before. Chest xray showed pleural thickening and opacity in right hemithorax with  signs of loss of volume. Bronchoscopy showed active bleeding in lateral segment of right lung middle lobe. Chest CT showed destroyed  right lung. Hemoptysis still existed despite the given conventional therapy, thus patient underwent pulmonary arteriography. The result  showed extensive vascular abnormality in the right lung with arteriovenous fistula on right bronchial artery and aneurysmatic branch of  superior bronchial and inner intercostal arteries. During the procedure, there was no active bleeding, so bronchial artery embolization  was adjourned. Patient then experienced recurrent and massive hemoptysis, thus right pneumonectomy was done. During the surgery,  there was uncontrolled active bleeding that caused the patient’s death. Conclusion: This case illustrates recurrent hemoptysis as one of  severe TB sequelae. In extensive pulmonary vascular abnormality, pneumonectomy can cause uncontrolled active bleeding. Bronchial  artery embolization can be used as an alternative to treat patients with recurrent homptysis.

scholarly journals Endovascular Embolization of an Aberrant Bronchial Artery Originating from the Internal Mammary Artery in a Patient with Hemoptysis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Hiroyuki Fujii ◽  
Akifumi Fujita ◽  
Hiroyasu Nakamura ◽  
Takahiro Sasaki ◽  
Hideharu Sugimoto
Keyword(s):  
Internal Mammary Artery ◽  
Bronchial Artery ◽  
Endovascular Embolization ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Promising Tool ◽  
Internal Mammary ◽  
Life Threatening ◽  
The Right

Massive hemoptysis is a life threatening respiratory emergency with high mortality and the bronchial artery (BA) is its most frequent source. Herein, we report a case of a 76-year-old man with recurrent hemoptysis due to an aberrant right BA arising from the right internal mammary artery (IMA), an extremely rare origin, that was clearly depicted on pretreatment computed tomography angiography (CTA). The patient was treated successfully by transcatheter bronchial artery embolization (BAE) of the aberrant BA and the hemoptysis has since been controlled for 9 months. Knowledge of the detailed BA anatomy is essential for performing BAE, especially in cases of aberrant BA. CTA is a promising tool for pretreatment planning of emergency BAE in patients with hemoptysis.

scholarly journals Bronchial carcinoid tumor managed with bronchial artery embolization before endobronchial resection: A case report

2021 ◽  
Author(s):  
Shigehisa Kajikawa ◽  
Kojiro Suzuki ◽  
Nozomu Matsunaga ◽  
Natsuki Taniguchi ◽  
Toyonori Tsuzuki ◽  
...  
Keyword(s):  
Case Report ◽  
Carcinoid Tumor ◽  
Bronchial Artery ◽  
Bronchial Carcinoid ◽  
Bronchial Artery Embolization ◽  
Artery Embolization

Control of Tubercular Haemoptysis by Bronchial Artery Embolization

1997 ◽  
Vol 27 (3) ◽  
pp. 149-150 ◽  
Author(s):  
Sanjeev Mani ◽  
Rajesh Mayekar ◽  
Ravi Rananavare ◽  
Deepti Maniar ◽  
J Mathews Joseph ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Selective Embolization ◽  
Bronchial Arteries ◽  
Bleeding Vessel ◽  
Life Threatening ◽  
Abnormal Bleeding ◽  
Recurrent Haemoptysis

Thirty-seven patients presenting with massive or recurrent haemoptysis secondary to tuberculous aetiology were subjected to bronchial artery angiography. Of these, failure to catheterize the bleeding vessel occurred in two patients while embolization was withheld in two patients due to the presence of anterior spinal artery arising from a common intercosto-bronchial trunk. Immediate arrest of bleeding was performed in the remaining 33 patients by selective embolization of the abnormal bronchial arteries with a resorbable material (Gelfoam). Regular follow up for a duration of 6 months after the procedure revealed relapse of haemoptysis in four patients; three were treated by re-embolization of the abnormal bleeding vessels while one patient died due to aspiration immediately on admission. No recurrence of bleeding was seen in the remaining 29 patients. It is concluded that bronchial artery embolization is an effective treatment for immediate control of life-threatening haemoptysis.

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