Bouayad M, Bagan P, Brian E, Benabdesselam A, Couffinhal J-C
Service de chirurgie vasculaire et thoracique, centre hospitalier Victor-Dupouy, Argenteuil, France.
J Mal Vasc. 2011 Feb;36(1):45-9. doi: 10.1016/j.jmv.2010.10.003. Epub 2010 Dec 4.
Mediastinal bronchial artery aneurysm is rare but potentially life-threatening, and requires prompt treatment to avert rupture with catastrophic results. Inflammatory conditions dominate the aetiologies. Conventional therapies are surgery via thoracotomy and endovascular embolization. We report a case of a giant saccular aneurysm of the bronchial artery described in an 80-year-old man, adjacent to the descending aorta, simulating aortic aneurysm and causing esophageal compression. It was totally excluded with an aortic stent-graft (TX2, Cook) performed through femoral access. Our case is the fourth reported of mediastinal bronchial aneurysm stent-graft exclusion. The analysis of success, complications rate and hospital stay duration favors endovascular grafting comparing with conventional techniques.
