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Images in cardio-thoracic surgery

Spontaneous hemomediastinum and hemothorax caused by ruptured bronchial artery aneurysm

^a Department of Emergency Medicine, Taiwan, ROC
^b Division of Trauma and Critical Medicine, Taichung Veterans General Hospital, Taiwan, ROC
^c Chung Shan Medical University, Taiwan, ROC
^d National Taichung Nursing College, Taiwan, ROC
^e Jen-The Junior College of Medicine, Nursing and Management, Taiwan, ROC
^f National Taiwan University, Taiwan, ROC

Received 19 January 2009; accepted 20 February 2009.

^_* Corresponding author. Address: Department of Emergency Medicine, Taichung Veterans General Hospital, No. 160, Sec. 3, Chung-Kang Road, Taichung, Taiwan 00407, ROC. Tel.: +886 4 23592525x3664; fax: +886 4 23594065. (Email: song9168{at}pie.com.tw).

Key Words: Bronchial artery aneurysm • Hemomediastinum • Hemothorax

A 60-year-old female presented with sudden onset of back pain and radiation to anterior chest. Computed tomographic angiography of aorta demonstrated a vascular lesion with contrast media extravasations in the mediastinum and hemothorax (Fig. 1 ) resulting from a ruptured bronchial artery aneurysm which was confirmed by conventional angiography (Fig. 2 ).

View larger version (106K): [in this window] [in a new window]   Fig. 1. Computed tomographic angiography of aorta demonstrated a vascular lesion (arrow) with contrast media extravasations and blood accumulation in the mediastinum and right pleural cavity without significant evidence of aortic dissecting flap.

View larger version (99K): [in this window] [in a new window]   Fig. 2. Digital substrate angiography showed a small aneurysm (arrow) from the distal segment of right bronchial artery and transcatheter arterial embolization was successfully completed for a ruptured bronchial artery aneurysm.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Google Scholar Articles by Shih, S.-Y. Articles by Lin, T.-C. PubMed Articles by Shih, S.-Y. Articles by Lin, T.-C. Related Collections Mediastinum Pleura