1985 Volume 7 Issue 1 Pages 77-83
Two cases of thoracic aortic aneurysm with hemoptysis were reported. Case 1, a 65 year-old man presented with a chief complaint of repeated hemoptysis. Chest X-ray films demonstrated a tumor with a pneumonia-like shadow in the left upper lung field. Case 2, a 59 year-old man presented with a chief complaint of slight hemoptysis. Chest X-ray films demonstrated a mass in the left lung field. Since the X-ray findings of both cases suggested intrapulmonary lesions, bronchoscopy was performed. As hemorrhage in the airway and compressed and wave-like pulsatile changes in the bronchial wall in the bronchus related to the lesions were noted, a vascular lesion was suspected. Both chest CT and aortography were performed and a diagnosis of aortic aneurysm was established. Accordingly, if such findings are noted on bronchoscopy in cases in which aortic aneurysm is suspected even slightly, the possibility of aortic aneurysm should be considered.
