title: Bronchial Artery Pseudoaneurysm With Major Hemorrhage After Bronchial Thermoplasty.
abstract: Bronchial thermoplasty has been found to be a safe and effective therapy for severe asthma. We report the case of a mediastinal hematoma and hemothorax developing in a 66-year-old woman several days after an uneventful bronchial thermoplasty of the right lower lobe. Evaluation revealed a bleeding right bronchial artery pseudoaneurysm. Pseudoaneuryms have been reported in association with other procedures involving the therapeutic application of thermal energy, and a single case of hemoptysis requiring bronchial artery embolization occurred in a clinical trial of bronchial thermoplasty. However, bronchial artery pseudoaneurysm with hemomediastinum and hemothorax has not previously been reported after bronchial thermoplasty.
authors.affiliation: Division of Pulmonary, Critical Care, and Sleep Medicine, UC Davis Medical Center, Sacramento, CA; Sacramento Veterans Affairs Medical Center, Mather, CA.
authors.forename: Dan-Vinh
authors.initials: DV
authors.lastname: Nguyen
authors.affiliation: Division of Pulmonary, Critical Care, and Sleep Medicine, UC Davis Medical Center, Sacramento, CA; Sacramento Veterans Affairs Medical Center, Mather, CA. Electronic address: sxmurin@ucdavis.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Murin
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography; D001249:Asthma / Q000601:surgery*; D001980:Bronchi / Q000601:surgery*; D001981:Bronchial Arteries / Q000000981:diagnostic imaging*; D001999:Bronchoscopy; D017115:Catheter Ablation; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000628:therapy; D006491:Hemothorax / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D014057:Tomography, X-Ray Computed
keywords: asthma; bronchial artery embolization; case report; fiber optic bronchoscopy; pseudoaneurysm; thermoplasty