Non-bronchial collateral supply from the left gastric artery in massive haemoptysis.
Two patients presented with recurrent, massive haemoptysis. Arteriography, including thoracoabdominal aortograms, revealed in both cases large non-bronchial collaterals arising from the left gastric artery. In the first case the non-bronchial collateral supplied the upper left lobe and in the second case it supplied the middle right lobe. Percutaneous embolisation of bronchial and non-bronchial collateral branches has become an accepted procedure in controlling massive or recurrent haemoptysis. Accurate identification of the non-bronchial collateral arterial feeders is essential for successful embolotherapy.
Sellars
N
N
Department of Radiology, St George's Hospital, Tooting, London.
Belli
A M
AM
D000328:Adult; D000792:Angiography; D001027:Aortography; D001980:Bronchi / Q000098:blood supply*; D003097:Collateral Circulation / Q000502:physiology; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply*