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KMID : 0364020110440040314
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Korean Journal of Thoracic and Cardiovascular Surgery
2011 Volume.44 No. 4 p.314 ~ p.317
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Spontaneous Hemomediastinum and Hemothorax Caused by a Ruptured Bronchial Artery Aneurysm
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Seo Yeon-Ho
Kwak Jin-Young
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Abstract
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A bronchial artery aneurysm (BAA) is uncommon and usually associated with chronic inflammatory lung disease or a systemic vascular condition, which is rarely the etiology of mediastinal hemorrhage. A middle-aged person presented with spontaneous hemothorax and hemomediastinum. A diagnostic evaluation identified a bronchial artery aneurysm as the source. To prevent further rupture, we performed a bronchial artery embolization. In the absence of trauma or other causes for hemothorax and mediastinal hemorrhage, the possibility of a BAA should be considered. A bronchial artery aneurysm can be managed by interventional techniques as well as surgery.
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KEYWORD
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Mediastinum, Vascular disease, Hemorrhage, Bronchial arteries, Aneurysm
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