A Case of Bronchial Varices Secondary to Bronchiectasis That Regressed After Transcatheter Arterial Embolization

DOI
  • Kurashina Kenji
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Hokari Satoshi
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Tsukioka Keisuke
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Aoki Nobumasa
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Kimura Yosuke
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Hayashi Masachika
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Ohshima Yasuyoshi
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Watanabe Satoshi
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Koya Toshiyuki
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital
  • Kikuchi Toshiaki
    Department of Respiratory Medicine and Infectious Diseases, Niigata University Medical and Dental Hospital

Bibliographic Information

Other Title
  • 気管支拡張症に合併し，動脈塞栓術で退縮が得られた気管支静脈瘤の1例

Search this article

Abstract

<p>Background. Bronchial varix is a rare disease, and its treatment has not yet been established. Case. A 78-year-old woman with a history of bronchiectasis and empyema had undergone bronchial artery embolization 3 times because of repeated hemoptysis for the past 6 years. She was admitted to our hospital because of hemoptysis. Despite the administration of a hemostatic agent, she developed massive hemoptysis and underwent tracheal intubation for mechanical ventilation. The hemoptysis was relieved by embolizing the left inferior phrenic artery and left bronchial artery using a gelatin sponge. Bronchial arteriography showed an arteriovenous shunt between the left inferior phrenic artery and pulmonary vein. Bronchoscopy revealed bronchial varices at the bifurcation of the left bronchus, which was considered to be the cause of the hemoptysis. Two weeks after arterial embolization, the varices had regressed according to a bronchoscopic examination, and she was discharged from the hospital without hemoptysis. Conclusion. Bronchial varices may develop in association with bronchiectasis and a history of bronchial arterial embolization. Bronchoscopy is useful for confirming the diagnosis of bronchial varices. Transcatheter arterial embolization for abnormal arteriovenous shunts is likely to be effective.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top