Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature  Kuniyoshi Tanaka,

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Presentation transcript:

Giant mediastinal bronchial artery aneurysm mimicking benign esophageal tumor: a case report and review of 26 cases from literature  Kuniyoshi Tanaka, MD, Akio Ihaya, MD, Tetsuya Horiuci, MD, Koich Morioka, MD, Tetsuya Kimura, MD, Takahiko Uesaka, MD, Masato Sasaki, MD, Masaru Uchinami, MD, Takeshi Tsuda, MD, Narihisa Yamada, MD, Wei Li, MD, Seiya Hirai, MD, Sawaka Tanabe, MD, Yuichiro Okubo, MD, Satofumi Tanaka, MD  Journal of Vascular Surgery  Volume 38, Issue 5, Pages 1125-1129 (November 2003) DOI: 10.1016/S0741-5214(03)00707-9

Fig 1 Barium esophagogram. Note extrinsic extramucosal filling defect on left side of mid-thoracic esophagus, extending about 5 cm. Journal of Vascular Surgery 2003 38, 1125-1129DOI: (10.1016/S0741-5214(03)00707-9)

Fig 2 Contrast material–enhanced computed tomography scan obtained at subcarinal level. Note round mediastinal mass adjacent to descending aorta that displaces the esophagus to the right. Mass enhances to same degree as aorta, revealing that this lesion is vascular. Journal of Vascular Surgery 2003 38, 1125-1129DOI: (10.1016/S0741-5214(03)00707-9)

Fig 3 Selective arteriogram of left bronchial artery. Saccular aneurysm is seen arising near origin of left bronchial artery. Major outflow branches spread from aneurysm around left bronchial tree. Journal of Vascular Surgery 2003 38, 1125-1129DOI: (10.1016/S0741-5214(03)00707-9)

Fig 4 Histologic findings of wall from bronchial artery aneurysm. Note atherosclerotic change with extensive intimal fibrosis and disappearance of medial layer (original magnification ×10; hematoxylin-eosin). Journal of Vascular Surgery 2003 38, 1125-1129DOI: (10.1016/S0741-5214(03)00707-9)