Hori Daijiro, Noguchi Kenichiro, Nomura Yohei, Tanaka Hiroyuki
Department of Cardiovascular Surgery, Fujigaoka Hospital, Showa University, Kanagawa, Japan.
Asian Cardiovasc Thorac Ann. 2013 Oct;21(5):615-7. doi: 10.1177/0218492312463369. Epub 2013 Jul 9.
Rupture of a bronchial artery aneurysm occurs rarely and may mimic aortic dissection. A 78-year-old-man was admitted with sudden chest pain. Chest radiography showed widening of the mediastinum, suggestive of aortic dissection, but contrast-enhanced computed tomography revealed hemomediastinum and bronchial artery aneurysm. Although open surgery has been the first choice for ruptured bronchial artery aneurysm, this case was successfully treated by an endovascular procedure with the combined use of coils and a gelatin sponge.
支气管动脉动脉瘤破裂很少发生，可能类似主动脉夹层。一名78岁男性因突发胸痛入院。胸部X线片显示纵隔增宽，提示主动脉夹层，但增强计算机断层扫描显示纵隔积血和支气管动脉动脉瘤。虽然开放手术一直是破裂支气管动脉动脉瘤的首选治疗方法，但该病例通过联合使用弹簧圈和明胶海绵的血管内介入治疗获得成功。
