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Thorac Cardiovasc Surg Rep 2016; 05(01): 18-20
DOI: 10.1055/s-0036-1578813
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Rupture of a Mediastinal Bronchial Artery Aneurysm Induced by Anticoagulant Agent

Zhimin Wang
1   The First People's Hospital of Taizhou, Taizhou, Zhejiang, China
,
Chenghua Xu
1   The First People's Hospital of Taizhou, Taizhou, Zhejiang, China
,
Xiaoxiao Ding
2   The Centre Hospital of Taizhou, Taizhou, Zhejiang, China
,
Jinying Chen
1   The First People's Hospital of Taizhou, Taizhou, Zhejiang, China
,
Huaping Xin
1   The First People's Hospital of Taizhou, Taizhou, Zhejiang, China
› Author Affiliations
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Publication History

07 December 2015

13 January 2016

Publication Date:
04 April 2016 (online)

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Abstract

Nontraumatic spontaneous rupture of a bronchial artery aneurysm is rarely seen. In this report, we described such a phenomenon in a patient induced by usage of anticoagulant agent. The patient had no antecedent history of trauma, hypertension, or apparent aortic pathology. The patient who had been taking low-molecular-weight heparin and warfarin to treat deep vein thrombosis complained of a sudden upper abdomen pain with shortness of breath and hypoxemia. The patient was diagnosed and treated for an acute hemomediastinum caused by a ruptured bronchial artery aneurysm. If the patient had continued to take the anticoagulant antithrombotic drugs, it may cause a more virulent bleeding. Taken together, CT angiography is a useful diagnosis tool for patients with sudden chest pain and abdominal pain, and rare cause should be considered.

Keywords

bronchial artery aneurysm - anticoagulant agent - spontaneous - rupture
 

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