Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration

William Grier, Or Kalchiem-Dekel, Jean Jeudy, Van Holden, Ashutosh Sachdeva, Edward Pickering

Research output: Contribution to journalArticlepeer-review

Abstract

A 74-year-old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left-sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs) with contrast blush into the left lung hilum. Tube thoracostomy and pleural fluid analysis confirmed the diagnosis of haemothorax. The mechanism of injury was determined to be BA laceration during EBUS-TBNA and drainage led to rapid improvement in the patient's symptoms. This is the first reported case of haemothorax due to BA injury during EBUS-TBNA.

Original languageEnglish
Article numbere00497
JournalRespirology Case Reports
Volume8
Issue number1
DOIs
StatePublished - 1 Jan 2020
Externally publishedYes

Keywords

  • Bronchial artery
  • TBNA
  • haemothorax

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