• Yingjie Chen, Wei Qin, Ziyang Zhu, Xiaojiang Wang, Wei Yu, Fajiu Li, and Chenghong Li.
• School of Medicine, Jianghan University.
• Medicine (Baltimore). 2021 Dec 23; 100 (51): e28416e28416.

RationaleBronchial artery aneurysm (BAA) is a rare disease that can be life-threatening if it ruptures. Tandem connections of multiple aneurysms are even rarer and more challenging to manage.Patient ConcernsA 46-year-old woman presented to the hospital with intermittent hemoptysis for a week. A bronchial artery computed tomographic angiography scan revealed 2 BAAs associated with bronchial artery-to-pulmonary artery fistulas in the left lung. Three-dimensional CT reconstruction showed 2 bronchial aneurysms in tandem and 1 aneurysm adjacent to the descending aorta.DiagnosesGiant tandem bronchial aneurysms were confirmed using computerized tomographic angiography.InterventionsNine interlocking detachable coils and 11 standard pushable coils were introduced into aneurysms for embolization.OutcomesThere was no episodes of hemoptysis. CT angiography indicated that the coils were closely knit and in their proper position 1 month later; at follow-up, the patient had no adverse effects and no recurrence of hemoptysis.LessonsBAA is a rare disease that can be life-threatening if it ruptures. It should be treated aggressively to determine the presence of symptoms.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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