Embolisation of a bronchial artery of anomalous origin in massive haemoptysis

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...

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Bibliographic Details
Main Authors: Md Ralib @ Md Raghib, Ahmad Razali, Ng, Teck Han, How, Soon Hin, Muda, Ahmad Sobri
Format: Article
Language:English
Published: Universiti Sains Malaysia 2010
Subjects:
Online Access:http://irep.iium.edu.my/1396/
http://irep.iium.edu.my/1396/
http://irep.iium.edu.my/1396/1/2010-2.pdf
Description
Summary: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.