Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration

Respirology Case Reports

William Grier¹  Or Kalchiem‐Dekel¹  Edward Pickering²  Van Holden²  Ashutosh Sachdeva²  Jean Jeudy³ 

[1] Department of Medicine University of Maryland Medical Center Baltimore MD USA;Department of Medicine University of Maryland School of Medicine Baltimore MD USA;Department of Radiology University of Maryland School of Medicine Baltimore MD USA;

关键词: Bronchial artery;    haemothorax;    TBNA;   

DOI  :  10.1002/rcr2.497

来源: DOAJ

【 摘 要 】

A 74‐year‐old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)‐guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left‐sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs) with contrast blush into the left lung hilum. Tube thoracostomy and pleural fluid analysis confirmed the diagnosis of haemothorax. The mechanism of injury was determined to be BA laceration during EBUS‐TBNA and drainage led to rapid improvement in the patient's symptoms. This is the first reported case of haemothorax due to BA injury during EBUS‐TBNA.

【 授权许可】

Unknown