2024 Volume 2 Issue 3 Pages 158-162
Bronchial artery (BA) aneurysms (BAAs) are often treated with BA embolization (BAE) or surgical procedures; accordingly, there are few reports of treatment with intra-aortic stent grafting (SG).
A 66-year-old woman, a Jehovah's Witness, visited an otorhinolaryngologist due to bloody sputum. Nasopharyngoscopy revealed no bleeding in the examined area. However, she visited again due to hemoptysis. She was referred to us. CT revealed that showed the left BA branched off caudally from the proximal descending aorta, and a BAA with a diameter of 27 mm was observed 5 mm away from the origin of the artery, as well as two 10-mm-diameter BAAs further down the artery. Bronchoscopy revealed no bleeding. As the BAAs were large and consecutive, BAE was considered difficult. We recommended surgical procedures, but she refused because of the risk of needing blood transfusion. Then, she agreed to undergo SG. Treatment was performed under general anesthesia. A sheath was inserted through the right common femoral artery, and a stent graft was inserted into the descending aorta to cover the BA branch. She had a good postoperative course without perioperative complications. After 13 years, CT revealed no endoleak, migration, or re-enlargement of the BAAs.
