Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery

Abstract A 79‐year‐old male with bronchiectasis was referred to our clinic because of mild chest tightness on exertion. He had no history of hemoptysis. An electrocardiogram showed ST segment depression in leads V5‐6. Multi‐detector contrast‐enhanced computed tomography revealed no significant steno...

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Main Authors: Rikako Horie, Kensuke Sekiya, Junichi Funada
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1048
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author Rikako Horie
Kensuke Sekiya
Junichi Funada
author_facet Rikako Horie
Kensuke Sekiya
Junichi Funada
author_sort Rikako Horie
collection DOAJ
description Abstract A 79‐year‐old male with bronchiectasis was referred to our clinic because of mild chest tightness on exertion. He had no history of hemoptysis. An electrocardiogram showed ST segment depression in leads V5‐6. Multi‐detector contrast‐enhanced computed tomography revealed no significant stenosis in either coronary artery; however, a huge racemose hemangioma of the bronchial artery (RHBA) was detected. In addition, arterial supply to the RHBA via the right coronary artery (RCA) and the left internal thoracic artery (LITA) was suspected. Adenosine‐loading myocardial scintigraphy images revealed segmental hypo‐perfusion in the left ventricular inferior wall. Selective bronchial artery angiography revealed the huge RHBA. In addition, both the RCA and LITA provided arterial supply to the RHBA. To the best of our knowledge, this case is the first to show multiple arterial supply resulting in a huge RHBA.
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spelling doaj.art-a69a011cb22f4bdeb35fa5fa7a974bd42022-12-22T04:37:06ZengWileyRespirology Case Reports2051-33802022-11-011011n/an/a10.1002/rcr2.1048Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic arteryRikako Horie0Kensuke Sekiya1Junichi Funada2Cardiology Ehime Medical Center Toon JapanCardiology Ehime Medical Center Toon JapanCardiology Ehime Medical Center Toon JapanAbstract A 79‐year‐old male with bronchiectasis was referred to our clinic because of mild chest tightness on exertion. He had no history of hemoptysis. An electrocardiogram showed ST segment depression in leads V5‐6. Multi‐detector contrast‐enhanced computed tomography revealed no significant stenosis in either coronary artery; however, a huge racemose hemangioma of the bronchial artery (RHBA) was detected. In addition, arterial supply to the RHBA via the right coronary artery (RCA) and the left internal thoracic artery (LITA) was suspected. Adenosine‐loading myocardial scintigraphy images revealed segmental hypo‐perfusion in the left ventricular inferior wall. Selective bronchial artery angiography revealed the huge RHBA. In addition, both the RCA and LITA provided arterial supply to the RHBA. To the best of our knowledge, this case is the first to show multiple arterial supply resulting in a huge RHBA.https://doi.org/10.1002/rcr2.1048angiographybronchial arterybronchial Dieulafoy's diseasecoronary steal phenomenonracemose hemangioma
spellingShingle Rikako Horie
Kensuke Sekiya
Junichi Funada
Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
Respirology Case Reports
angiography
bronchial artery
bronchial Dieulafoy's disease
coronary steal phenomenon
racemose hemangioma
title Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
title_full Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
title_fullStr Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
title_full_unstemmed Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
title_short Huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
title_sort huge racemose hemangioma of the bronchial artery with arterial supply via the right coronary artery and left internal thoracic artery
topic angiography
bronchial artery
bronchial Dieulafoy's disease
coronary steal phenomenon
racemose hemangioma
url https://doi.org/10.1002/rcr2.1048
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