Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case

Bronchial artery aneurysms (BAAs) are rare but can cause life-threatening pulmonary hemorrhage. Early diagnosis and treatment are crucial for preventing fatal complications. BAAs may be associated with inflammatory lung diseases or may occur idiopathically. Super-selective bronchial artery embolization has become the preferred therapeutic approach due to its safety and efficacy in controlling bleeding. We present a case of a 31-year-old otherwise healthy female who experienced recurrent hemoptysis and was found to have a large, tortuous right bronchial artery aneurysm measuring 2.3 × 3.6 cm, identified via computed tomography (CT) and angiography. The aneurysm originated from the descending aorta. Given the high risk of rupture, the patient underwent right bronchial artery embolization (BAE) using Contour particles and coils, achieving a favorable outcome. Follow-up imaging is planned to ensure long-term success and prevent recurrence.

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Publication Details

Journal
Radiology Case Reports
Published
2025-04-18
DOI
https://doi.org/10.1016/j.radcr.2025.03.069
Primary Topic
Vascular Anomalies and Treatments
Type
article
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article

Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case

Mohammed Khader, Tamara Aburiash, Moaath Sawalha, Yazan Giacaman
Radiology Case Reports
Vascular Anomalies and Treatments
article

Right bronchial artery aneurysm successfully managed by embolization: Report of a rare case

Mohammed Khader, Tamara Aburiash, Moaath Sawalha, Yazan Giacaman
article en

Abstract

Bronchial artery aneurysms (BAAs) are rare but can cause life-threatening pulmonary hemorrhage. Early diagnosis and treatment are crucial for preventing fatal complications. BAAs may be associated with inflammatory lung diseases or may occur idiopathically. Super-selective bronchial artery embolization has become the preferred therapeutic approach due to its safety and efficacy in controlling bleeding. We present a case of a 31-year-old otherwise healthy female who experienced recurrent hemoptysis and was found to have a large, tortuous right bronchial artery aneurysm measuring 2.3 × 3.6 cm, identified via computed tomography (CT) and angiography. The aneurysm originated from the descending aorta. Given the high risk of rupture, the patient underwent right bronchial artery embolization (BAE) using Contour particles and coils, achieving a favorable outcome. Follow-up imaging is planned to ensure long-term success and prevent recurrence.

Radiology Case ReportsVol. 20(7)
An-Najah National University (PS), National University Hospital (SG)
Zero hunger
Openalex Percentile: Top 89%
Vascular Anomalies and Treatments
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