2002 Volume 16 Issue 5 Pages 666-669
A 60-year-old-man was admitted to our hospital because of hemoptysis and wheeze. Chest X-ray and CT showed an old tuberculous shadow with thickness of pleura, calcification and cavity formation in the right upper lobe. Bronchial arteriography before operation revealed a fistula from the right bronchial artery to right upper pulmonary artery. Therefore right bronchial arterial embolization (BAE) was performed. On the next day right upper lobectomy and resecsion of the right upper bronchial artery were performed through a thoracotomy. Although it was difficult to dissect a pleural adhesion, the total blood loss was controlled within 630ml. The operation could be performed without any trouble. BAE was useful method for bronchial artery-pulmonary artery fistula to control bleeding during operation.
