[A case of primary racemose hemangioma of bronchial artery with recurrent hemoptysis].
A 42-year old man was admitted to our hospital because of hemoptysis. Bronchial arteriography revealed a tortuous and dilated left bronchial artery with a shunt formation between the bronchial and pulmonary arteries. Bronchial artery embolization using a sponge was performed three times to treat the hemoptysis, but all attempts failed. The patient therefore underwent left lower lobectomy, after which no hemoptysis was observed. Histopathologically, the resected tissue showed no inflammatory change. Interestingly, abnormal vessels resembling arteriovenous malformations were also found. Although the embolization therapy was effective in several reported cases, we concluded that surgery was required for this patient with persistent hemoptysis because of the development of collaterals and a bronchial-pulmonary artery shunt.
Mitsushima
H
H
Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki, Japan.
Masaki
H
H
Oishi
K
K
Akamine
S
S
Oka
T
T
Ayabe
H
H
Ashizawa
K
K
Hayashi
K
K
Hayashi
T
T
Nagatake
T
T
D000328:Adult; D001981:Bronchial Arteries; D006391:Hemangioma / Q000150:complications* / Q000601:surgery; D006469:Hemoptysis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D012008:Recurrence; D019043:Vascular Neoplasms / Q000150:complications* / Q000601:surgery