Bronchial artery aneurysm (BAA) is a rare disease, observed in < 1% of all patients undergoing selective bronchial arteriography ( 1 Fujita J. Akashi K. Kunikane H. et al. A case of bronchial artery aneurysm demonstrating a mass shadow on chest X-ray film. Nihon Kyobu Shikkan Gakkai Zasshi. 1991; 29 ([article in Japanese]): 1591-1595 PubMed Google Scholar ), and little is currently known about its pathogenesis. We report a case involving a large, asymptomatic mediastinal BAA associated with a bronchial–pulmonary arterial fistula that was treated with a combination of aortic stent grafting and transcatheter arterial embolization. Institutional review board approval was not required for this case report.