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CASE REPORT
A ruptured bronchial artery aneurysm with massive haemoptysis
  1. Ryoma Ueda,
  2. Yuki Kotani,
  3. Toshihide Tsujimoto
  1. Critical Care Medicine, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan
  1. Correspondence to Dr Yuki Kotani, dkivoar287{at}gmail.com

Summary

Massive haemoptysis is associated with high mortality. Among various diseases presenting with massive haemoptysis, a ruptured bronchial artery aneurysm (BAA) is a rare entity. We report the case of a ruptured BAA as small as 3 mm in diameter associated with massive haemoptysis in a previously healthy 77-year-old woman. She had suddenly developed massive haemoptysis and was intubated and admitted to the intensive care unit. A CT scan and repeated bronchoscopy could not reveal the cause. Because haemorrhage continued, she underwent bronchial arteriography (BAG) twice. We finally detected a BAA with a bleb that led to the diagnosis of a ruptured BAA only 3 mm in diameter. After bronchial artery embolisation, the haemoptysis ceased. Although rare, a ruptured BAA should be considered as a cause of massive haemoptysis. Because a small BAA may get overlooked, close observation is important in BAG.

  • Adult intensive care
  • Mechanical ventilation
  • Interventional radiology
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Footnotes

  • Contributors RU and YK wrote and edited the case report. TT was involved in the review.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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