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Endovascular Treatment of a Ruptured Mediastinal Bronchial Artery Aneurysm Takehiko Inoue 1 , Masaki Nakamura 1 , Shinji Masuyama 1 , Takashi Azuma 2 , Tetsuya Ichihara 3 1Department of Cardiovascular Surgery, Otakanomori Hospital Keyword: ruptured mediastinal bronchial artery aneurysm , thoracic endovascular aortic repair (TEVAR) , coil embolization , misdiagnosis pp.358-361
Published Date 2023/5/1
DOI https://doi.org/10.15106/j_kyobu76_358
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Case 1:A 73-year-old man was transported to our hospital for evaluation of sudden onset of chest pain, back pain, and dyspnea. We initially misdiagnosed him with advanced esophageal cancer accompanied by mediastinal metastasis;however, subsequent multi-detector row computed tomography (MDR-CT) confirmed the diagnosis. We performed coil embolization of a bronchial artery aneurysm and thoracic endovascular aortic repair (TEVAR) to seal the root of the bronchial artery.

Case 2:An 81-year-old woman with a one-week history of fever and cervical pain was diagnosed with a ruptured infected thoracic aneurysm. She underwent the same treatment as described in Case 1.

Physicians should consider it as a differential diagnosis of mediastinal hematoma.


© Nankodo Co., Ltd., 2023

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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