Ces radiol. 2012, 66(2):133-138

CT angiography and percutaneous embolization of anomalous bronchial artery in patient with massive hemoptysisCase report

Vendelín Chovanec1, Miroslav Lojík1, Jan Raupach1, Vladimír Koblížek2, Jiří Máslo3, Ondřej Renc1, Antonín Krajina1
1 Radiologická klinika LF UK a FN, Hradec Králové
2 Plicní klinika LF UK a FN, Hradec Králové
3 Interní oddělení Oblastní Nemocnice Náchod, a.s.

The authors describe a case of a 78-year-old woman with massive hemoptysis, which was from to hypertrophic bronchial artery anomalously originating from the internal thoracic artery. CT angiography performed on multidetector CT shows anomalous origin of the right bronchial artery. The bronchial bleeding was treated with embolization. The patient had no recurrent bleeding during 24 month follow-up. Ectopic origin of bronchial arteries is not rare, therefore it is necessary to consider it especially in cases when no bronchial artery arises between the upper margin of the fifth thoracic vertebra and the lower margin of the sixth thoracic vertebra. Currently, multidetector computed tomography has a crucial role in diagnostic algorithm of massive or recurrent hemoptysis and is used as a guidance for endovascular embolization therapy.

Keywords: hemoptysis, embolization, MDCT, CT angiography

Accepted: May 1, 2012; Published: June 1, 2012  Show citation

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Chovanec V, Lojík M, Raupach J, Koblížek V, Máslo J, Renc O, Krajina A. CT angiography and percutaneous embolization of anomalous bronchial artery in patient with massive hemoptysis. Ces radiol. 2012;66(2):133-138.
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    References

    1. Sakr L, Dutau H. Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management. Respiration 2010; 180 (1): 38-58. Go to original source... Go to PubMed...
    2. Krajina A, Chovanec V, Lojík M, Koblížek V, Raupach J. Endovaskulární léčba krvácení do bronchů. In Krajina A, Peregrin JH. Intervenční radiologie, miniinvazivní terapie. Hradec Králové: Olga Čermáková 2005; 529-541.
    3. Koblížek V, Chovanec V, Krajina A, et al. Postavení embolizace bronchiální tepny v terapii klinicky významné hemoptýzy. Vnitř Lék 2006; 52(12): 1162-1171.
    4. Khalil A, Fartoukh M, Partit A, et al. Impact of MDCT angiography on the management of patiens with hemoptysis. AJR 2010; 195(3): 772-778. Go to original source... Go to PubMed...
    5. Chun JY, Morgan R, Belli AM. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization. Cardiovasc Intervent Radiol 2010; 33(2): 240-250. Go to original source... Go to PubMed...
    6. Cauldwell EW, Siekert RG, Lininger RE. The bronchial arteries: an anatomic study of 150 human cadavers. Surg Gynecol Obstet. 1948; 86(4): 395-412.
    7. Sancho C, Escalante E, Domínguez J, et al. Embolization of bronchial arteries of anomalous origin. Cardiovasc Intervent Radiol 1998; 21(4): 300-304. Go to original source... Go to PubMed...
    8. Hartmann IJ, Remy-Jardin M, Menchini L, et al. Ectopic origin of bronchial arteries: assessment with multidetector helical CT angiography. Eur Radiol 2007; 17 (8): 1943-1953. Go to original source... Go to PubMed...
    9. Yoon YC, Lee KS, Shin SW, et al. Hemoptysis: bronchial and nonbronchial systemic arteries at 16-detector row CT. Radiology 2005; 234 (1): 292-298. Go to original source... Go to PubMed...
    10. Remy-Jardin M, Nebil B, Dumont P, et al. Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparision with conventional angiography. Radiology 2004; 233(3): 741-749. Go to original source... Go to PubMed...
    11. Mori H, Ohno Y, Teute Y, et al. Use of multidetector row CT to evaluate the need for bronchial arterial embolization in hemoptysis patients. Respiration 2010; 80(1): 24-31. Go to original source... Go to PubMed...
    12. Yildiz AE, Ariÿrek OM, Akpinar E, Peynircioglu B, Cil BE. Multidetector CT of bronchial and non-bronchial systemic arteries. Diagn Interv Radiol 2010; 17(1): 10-17.
    13. Razavi MK, Murphy K. Embolization of bronchial arteries with N-butyl cyanoacrylate for management of massive hemoptysis: A technical review. Tech Vasc Interventional Rad 2007; 10: 276-282. Go to original source... Go to PubMed...
    14. Yoo Dh, Yoon CJ, Kang SG, et al. Bronchial and nonbronchial systemic artery embolization in patients with major hemoptysis: Safety and efficacy of N-butyl cyanoacrylate. AJR 2011; 196: 199-204. Go to original source... Go to PubMed...
    15. Baltacioğlu F, Çimşit NÇ, Bostanci K, Yüksel M, Kodalli N. Transarterial microcatheter glue embolization of the bronchial artery for life-threatening hemoptysis: Technical and clinical results. Eur J Radiol 2010; 73: 380-384.
    16. Tanaka N, Yamakado K, Murashima S, et al. Superselective bronchial artery embolization for hemoptysis with a coaxial microcatheter system. J Vasc Intervent Radiol 1997; 8(1): 65-70. Go to original source... Go to PubMed...

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