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.