Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration

Haemothorax following an endobronchial ultrasound ‐guided guided transbronchial needle aspiration (EBUS‐TBNA) as a result of bronchial artery laceration resolved with small‐bore chest tube drainage. 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 rep orted case of haemothorax due to BA injury during EBUS‐TBNA.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research