초록접수 현황
| 19F-061 | 포스터 발표 |
Aberrant Bronchial Artery from Subclavian Artery : A Rare Anomaly Presenting with Refractory Hemoptysis
Hyun Ah Yim, Kyung Soo Kim
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Republic of Korea
Purpose : Most cases of hemoptysis are usually managed with bronchial artery embolization in patient with bronchiectasis, lung cancer and infectious lung diseases. We encountered a rare anomaly of aberrant bronchial artery from subclavian artery, presenting with refractory hemoptysis despite of repetitive embolization.
Methods : A 50-year-old male have been suffered from recurrent hemoptysis despite of repetitive embolization. He had a history of persistent atrial fibrillation that anticoagulation was continued. Computed tomography angiography revealed emphysematous upper lobe and incidental aberrant bronchial artery from the right subclavian artery (Fig. A). Bronchoscopy demonstrated engorged endobronchial vessels of the posterior segment of upper lobe as a bleeding focus.
Results : We conducted thoracoscopic surgery for division of aberrant bronchial artery with concomitant resection of the posterior segment of the upper lobe (Fig. B). The patient discharged on postoperative day 10 after restart of anticoagulant medication. Postoperative course was uneventful and bronchial engorged vessels were disappearing on follow up bronchoscopy (Fig. C). Refractory hemoptysis was also cleared during follow up for 2 months
Conclusion : We present a rare case of aberrant bronchial artery from subclavian artery, presented with refractory hemoptysis.
Methods : A 50-year-old male have been suffered from recurrent hemoptysis despite of repetitive embolization. He had a history of persistent atrial fibrillation that anticoagulation was continued. Computed tomography angiography revealed emphysematous upper lobe and incidental aberrant bronchial artery from the right subclavian artery (Fig. A). Bronchoscopy demonstrated engorged endobronchial vessels of the posterior segment of upper lobe as a bleeding focus.
Results : We conducted thoracoscopic surgery for division of aberrant bronchial artery with concomitant resection of the posterior segment of the upper lobe (Fig. B). The patient discharged on postoperative day 10 after restart of anticoagulant medication. Postoperative course was uneventful and bronchial engorged vessels were disappearing on follow up bronchoscopy (Fig. C). Refractory hemoptysis was also cleared during follow up for 2 months
Conclusion : We present a rare case of aberrant bronchial artery from subclavian artery, presented with refractory hemoptysis.
책임저자: Kyung Soo Kim
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Republic of Korea
발표자: Hyun Ah Yim, E-mail : ggomahoi@naver.com