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Canadian Respiratory Journal
Volume 15, Issue 3, Pages 127-128
http://dx.doi.org/10.1155/2008/712302
Case Report

Recurrent Massive Hemoptysis due to Postbronchotomy Bronchial Artery Aneurysm: A Case Report

Achilleas Lioulias,1 Panagiotis Misthos,1,2 John Kokotsakis,2 Georgios Papagiannakis,1 and Elian Skouteli1

1Department of Thoracic Surgery, Sismanogleio General Hospital, Greece
2Department of Cardiac Surgery, Evangelismos General Hospital, Athens, Greece

Copyright © 2008 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bronchial artery aneurysm (BAA) is a rare clinical entity. A case of intrapulmonary BAA associated with previous bronchotomy at the same site is described. A 22-year-old woman, who had undergone bronchotomy of the intermediate bronchus for the removal of a foreign body four years previously, presented with recurrent hemoptysis. Because of an increased risk for spinal cord ischemia, she immediately underwent lung resection rather than therapeutic embolization. The incidental finding of a BAA of any cause cannot be assumed to be stable, and immediate management should be undertaken regardless of the presence or absence of symptoms.