CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(04): 476-479
DOI: 10.4103/ijri.IJRI_162_18
Intervention Radiology

Dealing with technical challenges in embolization of a rare aberrant left inferior bronchial artery arising from the left gastric artery in a patient with massive hemoptysis

Gaurav Gangwani
Departments of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
,
Ajit Yadav
Departments of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
,
Amit Dhamija
Departments of Interventional Chest Medicine, Sir Ganga Ram Hospital, New Delhi, India
,
Arun Gupta
Departments of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
› Institutsangaben

Verantwortlicher Herausgeber dieser Rubrik: Financial support and sponsorship Nil.

Abstract

Bronchial artery embolization is an established intervention for management of recurrent massive hemoptysis in a majority of patients. The source of bleeding in a majority of cases is systemic arteries – orthotopic bronchial arteries, anomalous bronchial arteries, or nonbronchial systemic collaterals. We report a case of an aberrant left inferior bronchial artery arising from the left gastric artery (LGA) in a patient with massive hemoptysis. Such origin from infradiaphragmatic vessels and specially left gastric arteries is very rare and needs to be considered by interventional radiologists and pulmonologists in case with hemoptysis disproportionate to supply by orthotopic arteries. Technical challenges were present in the present case in the form of an aneurysm in the aberrant artery and nontarget hepatic and gastric branches arising from LGA. Appropriate selection of hardware and embolic agents was done to deal with the clinical situation.



Publikationsverlauf

Artikel online veröffentlicht:
26. Juli 2021

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