title: Embolisation of a bronchial artery of anomalous origin in massive haemoptysis.
abstract: 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.
authors.affiliation: Department of Radiology, Kulliyyah of Medicine, International Islamic University Malaysia, 25710 Kuantan, Pahang, Malaysia.
authors.forename: Ahmad Razali
authors.initials: AR
authors.lastname: Md Ralib
authors.forename: Ng Teck
authors.initials: NT
authors.lastname: Han
authors.forename: How Soon
authors.initials: HS
authors.lastname: Hin
authors.forename: Ahmad Sobri
authors.initials: AS
authors.lastname: Muda