title: Intraoperative rupture of an interlobar bronchial artery aneurysm: a case report.
abstract: Here we report the rare case of an intraoperative bronchial artery aneurysm (BAA) rupture. An asymptomatic 52-year-old woman was found to have bilateral, multiple dilated bronchial arteries feeding the BAA that was further connected to the pulmonary artery on computed tomography and angiography. Transcatheter arterial embolization was thought not to be succeed. During a thoracoscopic procedure, the BAA ruptured suddenly and was treated with a thoracotomy under percutaneous cardiopulmonary support (PCPS). For anatomical complex BAA like the present case, the use of an open procedure and the preparation of PCPS are strongly recommended.
authors.affiliation: Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki-higashi 2-1, Kanazawa, 920-8530, Japan. tsuney@nifty.com.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Tsunezuka
authors.affiliation: Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki-higashi 2-1, Kanazawa, 920-8530, Japan. thoraxchir7@gmail.com.
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Tanaka
authors.affiliation: Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki-higashi 2-1, Kanazawa, 920-8530, Japan. gutentag7@yahoo.jp.
authors.forename: Hideki
authors.initials: H
authors.lastname: Fujimori
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery*; D001981:Bronchial Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008026:Ligation / Q000379:methods; D008875:Middle Aged; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome