Abstract

Bronchial artery aneurysms are a rare vascular entity. They can have various presentations ranging from an incidental finding on radiological examination to life-threatening hemoptysis. We report the case of a 60-year old woman with three posterior mediastinal bronchial artery aneurysms who presented with unilateral periscapular pain, shortness of breath, hoarseness, and dysphagia. The bronchial artery aneurysms were removed successfully via thoracotomy, with excellent recovery and relief of the periscapular pain. We use this case as a platform to discuss unilateral periscapular pain as an atypical referral pattern for a bronchial artery aneurysm, as well as implications for treatment.