# Fibromuscular dysplasia presenting with bronchial artery involvement

## TL;DR

A rare case of fibromuscular dysplasia involving the bronchial artery is reported in a 75-year-old man.

## Contribution

This is an extremely rare report of bronchial artery involvement in fibromuscular dysplasia.

## Key findings

- Computed tomography angiography revealed celiac artery dissection and bronchial artery aneurysms consistent with FMD.
- Conservative management with blood pressure control and imaging surveillance was effective.

## Abstract

Fibromuscular dysplasia (FMD) is a rare noninflammatory, nonatherosclerotic vascular disorder associated with arterial beading, aneurysms, dissections, and rarely rupture, most commonly affecting the renal and carotid arteries in middle-aged women. We report a 75-year-old man with hypertension and hyperlipidemia found on computed tomography angiography to have celiac artery dissection, bilateral renal artery irregularities, and right bronchial artery aneurysms with a beading appearance consistent with FMD. The patient was managed conservatively with blood pressure control, antithrombotic therapy, and imaging surveillance. This case highlights the extremely rare involvement of bronchial artery in patients with FMD.