Embolisation of a bronchial artery of anomalous origin in massive haemoptysis.

Malays J Med Sci

Department of Radiology, Kulliyyah of Medicine, International Islamic University Malaysia, 25710 Kuantan, Pahang, Malaysia.

Published: July 2010

Massive haemoptysis is the most dreaded of all respiratory emergencies. Bronchial artery embolisation is known to be a safe and effective procedure in massive haemoptysis. Bronchial artery of anomalous origin presents a diagnostic challenge to interventional radiologists searching for the source of haemorrhage. Here, we report a case of massive haemoptysis secondary to a lung carcinoma with the bronchial artery originating directly from the right subclavian artery. This artery was not evident during the initial flush thoracic aortogram. The anomalous-origin bronchial artery was then embolised using 15% diluted glue with good results. An anomalous-origin bronchial artery should be suspected if the source of haemorrhage is not visualised in the normally expected bronchial artery location.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216163PMC

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