A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization. (2022)

• Record Type: Journal Article
• Authors: Imai, Shun; Kasai, Hajime; Sugiura, Toshihiko; Nagata, Jun; Toyoda, Takahide; Shiohira, Shunya; Shikano, Kohei; Kawame, Chiaki; Kouchi, Yusuke; Ota, Masayuki; Abe, Mitsuhiro; Suzuki, Hidemi; Ikeda, Jun-ichiro; Yoshino, Ichiro; Suzuki, Takuji
• Is Part Of: Respiratory medicine case reports. Volume 40(2022)
• Publication Date: 2022
• Subjects: Primary racemose hemangioma -- Endobronchial lesion -- Bronchial arterial embolization (BAE) -- Recurrent hemoptysis; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2022.101762
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: Primary racemose hemangioma of the bronchial artery (RHBA) is one of the causes of massive hemoptysis. A 72-year-old woman was admitted to our hospital with recurrent hemoptysis. Bronchoscopy showed an endobronchial lesion, and the angiography of the right bronchial arteries indicated RHBA. Bronchial arterial embolization (BAE) was performed to prevent hemoptysis. Although the endobronchial lesion shrank after the first BAE, the lesion re-increased and caused massive hemoptysis. A thoracoscopic right upper lobectomy was performed, and hemoptysis did not recur. Therefore, in cases of RHBA where there is recurrent hemoptysis and the endobronchial lesions that remain after BAE, additional treatments should be considered.