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      Successful treatment of spontaneous middle mediastinum hematoma due to rupture of bilateral bronchial artery with transcatheter arterial embolization using N-butyl-2-cyanoacrylate: A case report

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          Abstract

          Mediastinum hematoma is often caused by chest trauma, aortic dissection, and tumor. Spontaneous nontraumatic middle mediastinum hematoma is a rare and potentially life-threatening condition. Here, we report the case of a patient who was a 46-year-old experienced sudden chest pain with spontaneous middle mediastinum hematoma caused by rupture of the bilateral bronchial artery. We successfully treated the patient with transcatheter arterial embolization via the bilateral bronchial artery using N-butyl-2-cyanoacrylate.

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          Bronchial artery embolization to control hemoptysis: comparison of N-butyl-2-cyanoacrylate and polyvinyl alcohol particles.

          Sungmin Woo, Chang Jin Yoon, Jin Chung … (2013)
          To retrospectively compare safety and effectiveness of embolic agents polyvinyl alcohol (PVA) particles versus n-butyl-2-cyanoacrylate (NBCA) for bronchial artery embolization (BAE) for control of hemoptysis.
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            Ruptured bronchial artery aneurysm associated with bronchiectasis: a case report.

            T Aoyama, Katsuaki Hige, Kiyotoshi Inoue … (2009)
            A massive hemothorax from a ruptured bronchial artery aneurysm (BAA) is very rare. Only 12 cases of ruptured mediastinal BAA have been reported. This case study describes a 77-year-old female with bronchiectasis who presented with anemia, hypertension, hemothorax, and a mediastinal mass. A chest tube was inserted through which 2 liters of unclotted blood was drained from the left pleural cavity. An enhanced computed tomography scan revealed a ruptured 3-cm diameter mediastinal aneurysm of a bronchial artery supplying the left lower lobe. Transcatheter artery embolization (TAE) with multiple microcoils was performed successfully. Although the patient needed a transfusion, the subsequent course was uneventful. In the absence of trauma or other causes for hemothorax and mediastinal hemorrhage, the possibility of a BAA should be considered. TAE is the treatment method of choice as a minimally invasive strategy in patients with ruptured BAA.
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              The Use of Cyanoacrylate Adhesives in Peripheral Embolization

              Jeffrey Pollak, Robert I White (2001)
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Koichi Masuda
                Journal
                Journal ID (nlm-ta): Radiol Case Rep
                Journal ID (iso-abbrev): Radiol Case Rep
                Title: Radiology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 1930-0433
                Publication date PMC-release: 12 May 2020
                Publication date Collection: July 2020
                Publication date (Electronic): 12 May 2020
                Volume: 15
                Issue: 7
                Pages: 988-991
                Affiliations
                [a ]Department of Radiology, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa-shi, Tokyo, 272-8513, Japan
                [b ]Department of Radiology, The Jikei University Katsushika Medical Center, Katsushika-ku, Tokyo, Japan
                [c ]Department of Radiology, The Jikei Medical University Hospital, Minato-ku, Tokyo, Japan
                Author notes
                [* ]Corresponding author. masu0205@ 123456icloud.com
                Article
                Publisher ID: S1930-0433(20)30135-7
                DOI: 10.1016/j.radcr.2020.04.028
                PMC ID: 7226650
                SO-VID: ba236075-bb0a-45d7-8821-e04fd6c96560
                Copyright © © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 26 March 2020
                Date revision received : 14 April 2020
                Date accepted : 14 April 2020
                Categories
                Subject: Interventional Radiology

                Keywords: spontaneous mediastinum hematoma,rupture of bronchial artery,n-butyl-2-cyanoacrylate
                Data availability:
                Keywords: spontaneous mediastinum hematoma, rupture of bronchial artery, n-butyl-2-cyanoacrylate

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