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J Thorac Cardiovasc Surg 2003;125:1153-1154
© 2003 The American Association for Thoracic Surgery

Brief Communications

Ruptured bronchial artery aneurysm associated with sarcoidosis

Hon Chi Suen, MDa, Charles C. DuMontier, MDb, John Boeren, MDc, Wayne Charland, MDd, Bill B. Daily, MD, PhDa Belleville, Ill

From the Departments of Cardiothoracic Surgery,a Radiology,b Family Practice,c and Pathology,d St Elizabeth Hospital, Belleville, Ill.

Received for publication Aug 26, 2002. Accepted for publication Sept 11, 2002. Address for reprints: Hon Chi Suen, MD, Cardiothoracic Surgery Associates, SC, 12B Park Place, Swansea, IL 62226 (E-mail address: HSUEN@earthlink.net).

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  		Dr Suen

 
Aneurysms of the bronchial arteries are rare, but their causes are diverse.Go 1 Bronchial artery aneurysms have never been described in association with sarcoidosis. We report the case of a 50-year-old woman with life-threatening rupture of a bronchial artery aneurysm associated with sarcoidosis.

Clinical summary

A 50-year-old woman who underwent an uneventful coronary artery bypass 6 months previously had a 2-day history of back pain, nausea, and malaise. Then she experienced severe dizziness and was brought to the emergency department. She was found to be pale. Her vital signs included blood pressure of 188/88 mm Hg, heart rate of 105 beats/min, and respiratory rate of 28 breaths/min. Breath sounds were absent over the left side of the chest. There was no cardiac murmur. Peripheral pulses were all palpable. Chest radiography showed that the left side of the chest was completely opacified, with the mediastinum deviated to the right. The hemoglobin level was only 4.5 g/dL. Left-sided hemothorax was diagnosed, and placement of a tube in the left . . . [Full Text of this Article]






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