case_images: PMC6319520_01
case_images: A 76-year-old male with massive hemoptysis. a and b. CT showed two aortic pseudoaneurysms (arrows), which were in contact with the aortic anastomoses. They were attached to the trachea and left bronchus, respectively, which was suggestive of AB fistula formation. c and d. Two months before a and b, CT showed that an aortic pseudoaneurysm had blood flow (arrow). After that, the psuedoaneurysn increased in size
case_images: 42155_2018_19_Fig1_HTML.jpg
case_images: PMC6319520_01_42155_2018_19_Fig1_HTML.jpg
case_images: Fig1
case_images: They were attached to the trachea and the left bronchus, which was suggestive of AB fistula formation (Fig. 1).
case_images: a and b. Two stent-grafts were inserted into the region extending from the aortic arch (elephant trunk) to the descending aorta. CT showed a type 2 endoleak. The pseudoaneurysms remained (arrows). c and d. CT showed a type 2 endoleak via the bronchial artery (arrows). e. Brachiocephalic arteriography showed a type 2 endoleak (arrow) into the aortic pseudoaneurysms from the supreme intercostal artery via the bronchial artery. f. After TAE, the type 2 endoleak disappeared
case_images: 42155_2018_19_Fig2_HTML.jpg
case_images: PMC6319520_01_42155_2018_19_Fig2_HTML.jpg
case_images: Fig2
case_images: The pseudoaneurysms remained (Figs. 2a and b). Next, the right brachial artery was punctured, and brachiocephalic arteriography was carried out, which showed a type 2 endoleak into the aortic pseudoaneurysms from the supreme intercostal artery via the bronchial artery (Fig. 2c). TAE, the type 2 endoleak disappeared (Fig. 2d).
case_images: a and b. One year later, CT showed that the anastomotic pseudoaneurysms had disappeared, and the diameter of the aorta had also reduced
case_images: 42155_2018_19_Fig3_HTML.jpg
case_images: PMC6319520_01_42155_2018_19_Fig3_HTML.jpg
case_images: Fig3
case_images: One year later, CT showed that the pseudoaneurysms had disappeared, and the diameter of the aorta had also reduced (Fig. 3).