Hsieh Caleb G, Le Thomas, Fogelfeld Keren, Kamangar Nader
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Olive View - UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Department of Radiological Sciences, Division of Interventional Radiology, Olive View - UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
J Clin Imaging Sci. 2017 Jan 27;7:2. doi: 10.4103/2156-7514.199052. eCollection 2017.
Bronchial artery aneurysm (BAA) is a rare vascular phenomenon. This review highlights a case of a BAA that was complicated by the presence of a bronchial artery to pulmonary artery (BA-PA) fistula, consequently presenting a unique challenge to management. BAAs have a strongly reported risk of rupture resulting in life-threatening hemoptysis. Embolization has thus become routine for the management such severe cases. The management of incidentally found anomalies is less obvious, but prophylactic embolization is a generally accepted practice. In this report, we review some of the risks and benefits associated with BAA embolization with specific consideration of the challenges in cases of co-existing BA-PA fistula.
支气管动脉动脉瘤（BAA）是一种罕见的血管现象。本综述重点介绍了一例伴有支气管动脉至肺动脉（BA-PA）瘘的BAA病例，这给治疗带来了独特的挑战。大量报道显示BAA有破裂风险，可导致危及生命的咯血。因此，栓塞已成为这类重症病例的常规治疗方法。对于偶然发现的异常情况，治疗方案则不那么明确，但预防性栓塞是普遍接受的做法。在本报告中，我们回顾了与BAA栓塞相关的一些风险和益处，并特别考虑了合并BA-PA瘘病例所面临的挑战。
