1. UNIVERSITY OF KENTUCKY Department of Radiology

2. HPI  57 yo man presented to the ER with sudden onset severe chest pain.  On arrival, patient was pale, diaphoretic and confused.  SBP ~ 60’s (hemorrhagic shock).

3.  No past medical Hx  No surgical Hx  NKDA  Non smoker, non alcoholic

7. Diagnosis  Ruptured Bronchial Artery Aneurysm  Treatment options: 1. Endovascular 2. Surgical

8. Ruptured bronchial artery aneurysm

9. Catheter directed coil embolization using 4mmx3cm Tornado coils

10. Ruptured bronchial artery aneurysm  Rare entity. Aneurysm rupture can be fatal.  If rupture occurs into the pulmonary parenchyma  hemoptysis, while rupture into mediastinum simulates the symptoms of an aortic dissection or an aortic rupture.  Usually found in bronchiectasis or recurrent bronchopulmonary inflammation, in some cases, it is associated with atherosclerosis, infection, trauma, cystic fibrosis, and Osler- Weber-Rendu syndrome

11. Ruptured bronchial artery aneurysm  Preferred treatment is endovascular 1. Transcatheter coil embolization 2. Aortic stent graft 3. Surgery