Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Road, Shanghai, 200433, China,
Cardiovasc Intervent Radiol. 2013 Oct;36(5):1420-3. doi: 10.1007/s00270-012-0487-9. Epub 2012 Oct 13.
Massive hemoptysis is a life-threatening condition, and the major source of bleeding in this condition is the bronchial circulation. Bronchial artery embolization is a safe and effective treatment for controlling hemoptysis. However, the sites of origin of the bronchial arteries (BAs) have numerous anatomical variations, which can result in a technical challenge to identify a bleeding artery. We present a rare case of a left inferior BA that originated from the left gastric artery in a patient with recurrent massive hemoptysis caused by bronchiectasis. The aberrant BA was embolized, and hemoptysis has been controlled for 8 months.
大咯血是一种危及生命的病症，这种病症的主要出血来源是支气管循环。支气管动脉栓塞是控制咯血的一种安全有效的治疗方法。然而，支气管动脉（BA）的起源部位存在许多解剖学变异，这可能导致识别出血动脉具有技术挑战性。我们报告了一例罕见的病例，一名支气管扩张症患者因反复大咯血而出现左下位 BA 发自左胃动脉。异常的 BA 被栓塞，咯血已得到控制 8 个月。
