[Mediastinal bronchial artery aneurysm: treatment with stent-graft].
Mediastinal bronchial artery aneurysm is rare but potentially life-threatening, and requires prompt treatment to avert rupture with catastrophic results. Inflammatory conditions dominate the aetiologies. Conventional therapies are surgery via thoracotomy and endovascular embolization. We report a case of a giant saccular aneurysm of the bronchial artery described in an 80-year-old man, adjacent to the descending aorta, simulating aortic aneurysm and causing esophageal compression. It was totally excluded with an aortic stent-graft (TX2, Cook) performed through femoral access. Our case is the fourth reported of mediastinal bronchial aneurysm stent-graft exclusion. The analysis of success, complications rate and hospital stay duration favors endovascular grafting comparing with conventional techniques.
Service de chirurgie vasculaire et thoracique, centre hospitalier Victor-Dupouy, Argenteuil, France. drm.bouayad@gmail.com
M
M
Bouayad
P
P
Bagan
E
E
Brian
A
A
Benabdesselam
J-C
JC
Couffinhal
D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000637:transplantation; D001014:Aortic Aneurysm; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D001981:Bronchial Arteries; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D015607:Stents