case_images: PMC7305531_01
case_images: Chest X-ray documented right lower pneumonia.
case_images: CRJ2020-6414719.001.jpg
case_images: PMC7305531_01_CRJ2020-6414719.001.jpg
case_images: fig1
case_images: The chest radiograph documented right lower pneumonia (Figure 1).
case_images: CTA demonstrated that BA1 originated from the thoracic aorta to the left at the level of the upper margin of T5 and entered the right hilum above the bifurcation of the trachea. BA2 arose from the right side of the thoracic aorta at T6 and passed up to the right and then down to the right hilum, with a widening of the diameter (2 mm) of the primary and middle tubes.
case_images: CRJ2020-6414719.002.jpg
case_images: PMC7305531_01_CRJ2020-6414719.002.jpg
case_images: fig2
case_images: Bronchial artery 2 arose from the right side of the thoracic aorta at T6 and passed up to the right and then down to the right hilum with a 2 mm widening of the primary and middle tube diameters (Figure 2).
case_images: Angiography showed that the right lower bronchial artery had the same origin as the left bronchial artery, and the vascular lumen was dilated. The right lower lung branches were disorganized, with a small amount of light staining in the parenchymal phase.
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case_images: PMC7305531_01_CRJ2020-6414719.003.jpg
case_images: fig3
case_images: The right lower lung branches were disorganized, with a small amount of light staining in the parenchymal phase (Figure 3).
case_images: Aortic angiography showed an ectopic bronchial artery originating from the right renal artery and entering the right lower lung with tortuous and disordered peripheral vessels; the pulmonary artery branch is shown in the arterial stage.
case_images: CRJ2020-6414719.004.jpg
case_images: PMC7305531_01_CRJ2020-6414719.004.jpg
case_images: fig4
case_images: Aortic angiography visualized an ectopic bronchial artery originating from the right renal artery and entering the right lower lung, with tortuous and disordered peripheral vessels, and the pulmonary artery branch was apparent in the arterial phase (Figure 4).
case_images: The end of the ectopic bronchial artery is blocked.
case_images: CRJ2020-6414719.005.jpg
case_images: PMC7305531_01_CRJ2020-6414719.005.jpg
case_images: fig5
case_images: In consideration of the presence of a bronchial-pulmonary artery fistula, embolization was performed at the distal end of the vessel (Figure 5), and the subsequent revealed that the artery was occluded at the distal end.
case_images: Chest X-ray documented atelectasis in the right lung.
case_images: CRJ2020-6414719.006.jpg
case_images: PMC7305531_01_CRJ2020-6414719.006.jpg
case_images: fig6
case_images: Subsequent chest X-ray documented atelectasis in the right lung (Figure 6).
case_images: One day after bronchoscopy, no evidence of atelectasis was found on the chest X-ray.
case_images: CRJ2020-6414719.007.jpg
case_images: PMC7305531_01_CRJ2020-6414719.007.jpg
case_images: fig7
case_images: The chest radiograph did not reveal any evidence of atelectasis on the second day of bronchoscopy (Figure 7).