title: [Successful surgical ligation and transection of racemose hemangioma of bronchial artery].
abstract: We report two cases of bilateral racemose hemangioma in patients with hemoptysis. Case 1 was a 62-year-old woman who visited a local clinic complaining of hemoptysis. Bronchoscopy revealed multiple pulsating tumorous lesions and she was referred to our department. Chest Multidetector CT (MDCT) disclosed bilateral enlarged and convoluted, abnormal bronchial arteries and primary racemose hemangioma was diagnosed. Bronchial artery embolization was selected, but not conducted because of concern regarding the arteriovenous shunt and escape into the greater circulation. In combination with thoracoscopic mini-thoracotomy, ligation and separation of the bronchial artery were performed. Case 2 was a 68-year-old man who was transferred to our department with a chief complaint of hemoptysis. MDCT revealed bilateral bronchiectasis and a convoluted and enlarged, abnormal bronchial artery along the mediastinum. He was diagnosed as having secondary racemose hemangioma. First, bronchial artery embolization was conducted, but hemostasis was difficult, thus surgical ligation was conducted. In both cases, MDCT was effective for diagnosis and surgical ligation is very important as a therapeutic option for racemose hemangioma.
authors.affiliation: Department of Respiratory Internal Medicine, Showa University Fujigaoka Hospital.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kuraishi
authors.forename: Ryozo
authors.initials: R
authors.lastname: Yano
authors.forename: Makoto
authors.initials: M
authors.lastname: Hasumoto
authors.forename: Tomihiko
authors.initials: T
authors.lastname: Kasai
authors.forename: Toshiki
authors.initials: T
authors.lastname: Kikuchi
authors.forename: Shogo
authors.initials: S
authors.lastname: Tomita
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Otsuka
authors.forename: Takanori
authors.initials: T
authors.lastname: Akizawa
authors.forename: Michiaki
authors.initials: M
authors.lastname: Narushima
authors.forename: Hajime
authors.initials: H
authors.lastname: Suzuki
authors.forename: Shuichi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D001981:Bronchial Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D001999:Bronchoscopy; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000601:surgery*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed