Volume 110, Issue 5, Pages (November 1996)

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Volume 110, Issue 5, Pages 1356-1358 (November 1996) Acute Superior Vena Cava Obstruction After Rupture of a Bronchial Artery Aneurysm  Vincent Hoffmann, MD, Dirk Ysebaert, MD, Arthur De Schepper, MD, PhD, Cecile Colpaert, MD, Philippe Jorens, MD, PhD  CHEST  Volume 110, Issue 5, Pages 1356-1358 (November 1996) DOI: 10.1378/chest.110.5.1356 Copyright © 1996 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Angiography of the aortic arch. Tortuous bronchial artery with a large aneurysm on its course (large arrow) arising from the right brachiocephalic trunk (Tr. BC) at the same level as the origin of the right internal mammary artery (small arrows). The aorta and the subclavian artery are marked by Ao and AS, respectively. CHEST 1996 110, 1356-1358DOI: (10.1378/chest.110.5.1356) Copyright © 1996 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Selective angiography of the right bronchial artery. Large aneurysm at the proximal part of the bronchial artery. CHEST 1996 110, 1356-1358DOI: (10.1378/chest.110.5.1356) Copyright © 1996 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Delayed washout of the contrast material out of the aneurysm. CHEST 1996 110, 1356-1358DOI: (10.1378/chest.110.5.1356) Copyright © 1996 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Fragment of the bronchial artery aneurysm shows an arterial wall with severe atherosclerosis (thickened neointima, marked by IN). The rupture of the tunica media is demonstrated by the abrupt interruption of the medial elastic fibers (arrow) (orcein elastic stain, original ×40). CHEST 1996 110, 1356-1358DOI: (10.1378/chest.110.5.1356) Copyright © 1996 The American College of Chest Physicians Terms and Conditions