Successful Embolization of Bronchial Artery in Racemose Hemangioma

• Published in: Nihon Kyōbu Shikkan Gakkai zasshi Vol. 31; no. 2; pp. 257 - 260
• Main Authors: Oshika, Hiroyuki, Morishita, Munehiko, Yoshikawa, Kousyou, Sugiura, Yoshiki, Iizima, Naoto
• Format: Journal Article
• Language: English; Japanese
• Published: Japan The Japanese Respiratory Society 01.02.1993
• Subjects: Aged; Bronchial Arteries; Bronchial arteriography; Bronchoscopy; Embolization of the bronchial artery; Embolization, Therapeutic; Hemangioma - complications; Hemangioma - therapy; Hemoptysis; Hemoptysis - etiology; Hemoptysis - therapy; Humans; Male; Racemose hemangioma of the bronchial artery; Vascular Diseases - complications; Vascular Diseases - therapy
• ISSN: 0301-1542; 1883-471X
• DOI: 10.11389/jjrs1963.31.257

A 74-year-old male was admitted to our hospital because of hemoptysis. Bronchoscopic examination showed a polypoid lesion in the right middle lobe bronchus. Biopsy of the polypoid lesion caused a massive bleeding. A massive hemoptysis of about 1, 200ml occurred again on the 13th day after biopsy. angiographic embolization of the right bronchial artery was performed successfully. Dilatation, convolution and hypervascularization of the right bronchial artery were observed, and anastomosis with pulmonary artery was seen. The diagnosis of primary racemose hemangioma of the bronchial artery was made. There was no recurrence of hemoptysis 3 years after the embolization procedure. Broncial artery embolization is an effective method of treatment of hemoptysis due to racemose hemangioma.