An unusual cause of hemoptysis: costocervical trunk pseudoaneurysm

Singhal, Manphool; Giragani, Suresh; Lal, Anupam; Sharma, Aman; Khandelwal, Niranjan

doi:10.1007/s10140-010-0911-x

Cited by 4 publications

(9 citation statements)

References 11 publications

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“…It is preferable to localize the cause and site of bleeding by CTBA, if clinical situation permits for better planning of endovascular treatment. [3]…”

Section: Discussionmentioning

confidence: 99%

“…Embolization of visceral artery pseudoaneurysm with n-butyl cyanoacrylate for the management of hemoptysis has also been described. [3] In index case, we used PVA and gelfoam for embolization of intercostal artery.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Very rarely, pseudoaneurysms of other visceral arteries can also be seen in pulmonary TB. [345] Pseudoaneurysm of an intercostal artery in pulmonary TB is extremely rare with only a few cases reported in the literature. [45] We describe a case of life-threatening hemoptysis secondary to intercostal artery pseudoaneurysm in a patient of pulmonary TB, which was subsequently managed by transarterial embolization.…”

Section: Introductionmentioning

confidence: 99%

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Intercostal artery pseudoaneurysm in pulmonary tuberculosis – A rare cause of hemoptysis: A case report with review of the literature

et al. 2019

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Pulmonary tuberculosis (TB) is one of the common causes of life-threatening hemoptysis, particularly in developing countries. Bronchial and pulmonary arteries are the major source of hemoptysis in pulmonary TB. Intercostal artery pseudoaneurysm as a cause of hemoptysis in pulmonary TB is extremely rare, with only a few reported cases. We describe a case of intercostal artery pseudoaneurysm in a patient of pulmonary TB, presenting as massive hemoptysis. Computed tomography bronchial angiography (CTBA) revealed a contrast-filled outpouching in a left upper lobe cavity. Catheter angiography revealed a pseudoaneurysm arising from one of the left intercostal arteries, which was managed subsequently by endovascular embolization. Pseudoaneurysm from visceral arteries is an extremely rare but important cause of massive hemoptysis in pulmonary TB, which if not managed promptly may prove fatal.

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“…It is preferable to localize the cause and site of bleeding by CTBA, if clinical situation permits for better planning of endovascular treatment. [3]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intercostal artery pseudoaneurysm in pulmonary tuberculosis – A rare cause of hemoptysis: A case report with review of the literature

et al. 2019

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“…The main causes of pseudoaneurysms in the thorax are iatrogenic, traumatic, and infectious damage to the arteries, most frequently the intercostal arteries and aorta. [1][2][3][4][5][6] Pseudoaneurysms of the costocervical trunk (CCT) are extremely rare. 6,7 Endovascular treatment is a minimally invasive method for treating pseudoaneurysms.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Coil Embolization of a Costocervical Trunk Pseudoaneurysm After Bullectomy With Pleural Abrasion

Sun

Chen

et al. 2013

Vasc Endovascular Surg

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Transarterial embolization (TAE) is less invasive than surgery for the treatment of pseudoaneurysms. Costocervical trunk (CCT) pseudoaneurysms are extremely rare. We herein report an unusual case of a 45-year-old man with a CCT pseudoaneurysm caused by a bullectomy with pleural abrasion, which had been performed to manage a spontaneous pneumothorax. The patient presented with chronic chest pain and successfully underwent TAE with a metallic coil. The chest pain completely disappeared 2 weeks after the TAE, and follow-up computed tomography showed that the pseudoaneurysm had almost completely disappeared 9 months after the TAE.

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“…The costal part of the costocervical arteries is involved in pathology affecting the pleural space. Endovascular embolisation is the treatment of choice [50], and we had also embolised our case with endovascular injection of N-butyl cyanoacrylate glue-lipiodol mixture. The previous two reported cases were also treated by endovascular embolisation techniques.…”

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confidence: 99%

Non-bronchial causes of haemoptysis: imaging and interventions

et al. 2020

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Purpose: To describe non-bronchial causes of haemoptysis on imaging and the role of interventional radiology in their management from cases of haemoptysis archived from our database at a tertiary care, federally funded institution. Material and methods: Retrospective analysis of cases that presented with haemoptysis in our institution from 2008 to 2013 was done, and details of cases in which the bleeding was from a non-bronchial source were archived and details of imaging and treatment were recorded. Results: Retrospective analysis of patients presenting with haemoptysis yielded 24 (n = 24) patients having haemoptysis from non-bronchial sources. Causes of haemoptysis were: Rasmussen aneurysms (n = 12/24), costocervical trunk pseudoaneurysm (n = 1/24), left internal mammillary artery pseudoaneurysm (n = 1/24), left ventricular aneurysms (n = 3/24), pulmonary arteriovenous malformations (AVMs) (n = 5/24), and proximal interruption of pulmonary artery (n = 2/24). Imaging and interventional radiology management are described in detail. Conclusions: Haemoptysis can be from non-bronchial sources, which may be either from systemic or pulmonary arteries or cardio-pulmonary fistulas. Bronchial computed tomography angiography (CTBA), if feasible, must always be considered before bronchial artery embolisation because it precisely identifies the source of haemorrhage and vascular anatomy that helps the interventional radiologist in pre-procedural planning. This circumvents chances of re-bleed if standard bronchial artery embolisation is done without CTBA.

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An unusual cause of hemoptysis: costocervical trunk pseudoaneurysm

Cited by 4 publications

References 11 publications

Intercostal artery pseudoaneurysm in pulmonary tuberculosis – A rare cause of hemoptysis: A case report with review of the literature

Intercostal artery pseudoaneurysm in pulmonary tuberculosis – A rare cause of hemoptysis: A case report with review of the literature

Endovascular Coil Embolization of a Costocervical Trunk Pseudoaneurysm After Bullectomy With Pleural Abrasion

Non-bronchial causes of haemoptysis: imaging and interventions

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