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Management of hemoptysis

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https://www.readbyqxmd.com/read/29862103/severe-maternal-morbidity-associated-with-systemic-lupus-erythematosus-flare-in-the-second-trimester-of-pregnancy
#1
Matthew J Blitz, Adiel Fleischer
Pregnancy in women with systemic lupus erythematosus (SLE) is associated with an increased risk of adverse maternal and fetal outcomes. Here, we present a case of severe maternal morbidity in a 23-year-old primigravida with SLE and secondary Sjögren's syndrome who experienced a life-threatening multisystem flare at 17 weeks of gestational age. She presented to the emergency department complaining of cough with hemoptysis and shortness of breath. She developed hypoxic respiratory failure and was admitted to the intensive care unit...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29851658/drainage-of-cerebrospinal-fluid-and-blood-pressure-augmentation-as-rescue-therapies-for-ischemic-myelitis-after-bronchial-embolization-a-case-report
#2
Pierre-Alexis Lépine, Jean-François Naud, Philippe Boisvert
A 62-year-old man presented to the emergency department with massive hemoptysis. After bronchial artery embolization, he developed ischemic myelitis, a rare complication in this setting for which no specific therapy is currently recommended. The symptoms were managed with lumbar drainage of cerebrospinal fluid and blood pressure augmentation therapy. To our knowledge, this is the first report of using lumbar drainage of cerebrospinal fluid and blood pressure augmentation in the treatment of anterior medullary ischemia after bronchial artery embolization for massive hemoptysis...
June 1, 2018: A&A practice
https://www.readbyqxmd.com/read/29850172/thoracoscopic-lobectomy-for-massive-hemoptysis-caused-by-complete-pulmonary-vein-occlusion-after-radiofrequency-ablation-for-atrial-fibrillation
#3
Shizhao Cheng, Xike Lu, Jing Wang, Ting Liu, Xun Zhang
Complete pulmonary vein occlusion is a rare complication of transcatheter radiofrequency ablation for atrial fibrillation. We here report a 37-year-old man who presented with massive hemoptysis as a result of left superior pulmonary vein occlusion caused by transcatheter radiofrequency ablation for paroxysmal atrial fibrillation. The patient was successfully managed with thoracoscopic left upper lobectomy with a satisfactory outcome.
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29794392/effectiveness-of-nitroglycerin-in-managing-subacute-lung-bleeding-induced-by-balloon-pulmonary-angioplasty
#4
Shun Minatsuki, Arihiro Kiyosue, Akihito Saito, Hisataka Maki, Masaru Hatano, Issei Komuro
Lung bleeding (LB) and hemoptysis is a common but life-threating complication of balloon pulmonary angioplasty (BPA) for chronic thromboembolic pulmonary hypertension. LBs related to BPA mostly occur acutely during BPA session. Therefore, it can usually be managed with occlusion balloon or other catheter-based approaches. While LB also develops subacutely after BPA session, the pharmacological option to subacute LB is currently limited. Here, we present a case of subacute LB which can be managed with intravenous administration of nitroglycerin...
May 23, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29749991/pulmonary-embolism-as-a-rare-complication-of-liver-hydatid-cyst-report-of-two-cases
#5
Omar Toumi, Randa Salem, Sadok Ben Jabra, Ghedira Abdesslem, Faouzi Noomen, Abdel Aziz Hamdi
Hydatid cyst is a helminth infection. The rupture of a hepatic hydatid cyst in inferior vena cava is a rare and lethal complication. Pulmonary embolism is the commonest manifestation. The diagnosis of hydatid cyst is made by histopathological or serological examination, and imaging may suggest the probability of hydatid cyst. Surgical treatment should be performed with caution and always under vascular control. We present two cases of hydatid cyst ruptured into the inferior vena cava. The patients also presented with dyspnea, hemoptysis, and intermittent cough at the time of admission...
March 2018: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29742224/massive-hemoptysis-successfully-treated-with-extracorporeal-membrane-oxygenation-and-endobronchial-thrombolysis
#6
Antônio Aurélio de Paiva Fagundes Júnior, Renato Bueno Chaves, Amanda Robassini Dos Santos, Humberto Alves de Oliveira, Marcello Henrique Paschoal
Extracorporeal membrane oxygenation has been used to treat refractory hypoxemia in numerous clinical scenarios. The fundamental principles for the management of massive hemoptysis patients include protecting the airway and healthy lung, locating the source of bleeding and controlling the hemorrhage. We report the case of a patient with acute respiratory failure associated with massive hemoptysis secondary to lung laceration during cardiac surgery. The use of extracorporeal membrane oxygenation allowed patient survival...
March 2018: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/29738753/acute-management-of-infected-chronic-thromboembolic-disease
#7
Donna May Kimmaliardjuk, Carole Dennie, Sean Dickie, Eric C Belanger, Fraser Rubens
A 29-year-old male with chronic pulmonary emboli presented to hospital with progressive pleuritic chest pain. He was in acute right ventricular failure, and thus underwent intra-pulmonary arterial tissue plasminogen (tPA). He developed massive hemoptysis requiring emergent thromboendarterectomy. A clot was visualized in the main left pulmonary artery which had formed a bronchovascular fistula into the left upper lobe bronchus. Pathology of the clot revealed fibrinopurulent exudate and Gram-positive cocci. The left pulmonary artery was repaired with a pericardial patch, and the left upper lobe was oversewn with subsequent left upper lobectomy...
May 5, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29735258/outcomes-of-pulmonary-artery-embolization-and-stent-graft-placement-for-the-treatment-of-hemoptysis-caused-by-lung-tumors
#8
Clément Marcelin, Jérome Soussan, Florian Desmots, Jean-Yves Gaubert, Vincent Vidal, Jean Michel Bartoli, Jean Izaaryene
PURPOSE: To evaluate the safety and efficacy of endovascular management of pulmonary artery lesions caused by lung tumors. MATERIALS AND METHODS: Nineteen patients (15 men, 4 women; average age: 60.3 years, range, 51-86 years) treated for massive or recurrent hemoptysis with transarterial pulmonary artery embolization between 2010 and 2016 were included in this multicenter, retrospective study. Inclusion criteria were: patients with lung cancer and at least 1 episode of hemoptysis with a pulmonary artery lesion detected by computed tomography (CT) angiography or after failed bronchial artery embolization...
May 5, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29727208/indications-and-complications-of-rigid-bronchoscopy
#9
Hitesh Batra, Lonny Yarmus
Rigid bronchoscopy is an invaluable tool for the management of airway disorders and an essential skill for an interventional pulmonologist. Since its introduction in the late 19th century, it has remained an important technique for the management of central airway obstruction, foreign body aspiration and massive hemoptysis. Areas covered: This article will review the history, indications, contraindication, technique and complications of rigid bronchoscopy. We will also briefly discuss the methods of anesthesia and ventilation and finally our perspective on the future of rigid bronchoscopy...
June 2018: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/29721920/acquired-peripheral-pulmonary-artery-aneurysms-morphological-spectrum-of-disease-and-multidetector-computed-tomography-angiography-findings-cases-series-and-literature-review
#10
REVIEW
Tullio Valente, Ahmad Abu-Omar, Giacomo Sica, Alfredo Clemente, Massimo Muto, Giorgio Bocchini, Salvatore Cappabianca, Gaetano Rea
BACKGROUND: Acquired peripheral or intraparenchymal pulmonary artery aneurysms (PPAA) are rare entities but are important to recognize because of the associated morbidity. Hemoptysis is their principal complication and is a potentially fatal condition. PURPOSE: To illustrate the causes, multidetector CT angiography (MDCTA) findings and differential diagnosis of acquired PPAA. MATERIALS AND METHODS: The institutional review boards approved this study...
May 2, 2018: La Radiologia Medica
https://www.readbyqxmd.com/read/29707496/secondary-tracheal-tumors-a-systematic-review
#11
REVIEW
Maria Lucia Madariaga, Henning A Gaissert
Background: Secondary tracheal tumors arise from mural invasion by primary tumors in adjacent organs, metastatic lymph nodes or blood-born metastasis from distant sites. This systematic review aims to assess the presentation, management options, and clinical outcomes of these uncommon non-tracheal malignancies. Methods: Electronic searches of the MEDLINE database were performed to identify case series and individual case reports of tracheal invasion by primary non-tracheal tumors or metastatic disease...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29704815/thoracic-endometriosis-syndrome-comparison-between-catamenial-pneumothorax-or-endometriosis-related-pneumothorax-and-catamenial-hemoptysis
#12
Shinya Fukuda, Tetsuya Hirata, Kazuaki Neriishi, Akari Nakazawa, Masashi Takamura, Gentaro Izumi, Miyuki Harada, Yasushi Hirota, Kaori Koga, Osamu Wada-Hiraike, Tomoyuki Fujii, Yutaka Osuga
OBJECTIVES: To evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH). STUDY DESIGN: In this retrospective study, we enrolled 25 patients with TES, 18 of whom had CP/ERP and 7 had CH, to investigate the clinical presentation, effectiveness of treatment, and recurrence rates in these disorders. RESULTS: The age at onset was significantly lower in patients with CH than in patients with CP/ERP (P < 0...
June 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29702994/a-case-report-regarding-general-anesthesia-management-of-a-patient-with-pulmonary-vein-stenosis-that-underwent-balloon-dilatation-and-stent-implantation
#13
Fangzhou Li, Guoyan Qiao, Peng Liang, Jin Liu
RATIONALE: Pulmonary vein stenosis (PVS) is a rare cardiovascular deformity that can lead to high mortality if left untreated. Patients frequently experience multiple complications such as hemoptysis, pulmonary hypertension, bronchial venous rupture and cardiac insufficiency. Currently, pulmonary vein stenosis balloon dilatation (stent implantation) is the only treatment, and this can be performed under local or general anesthesia. However, a case report on the general anesthesia management of PVS has not been previously reported...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29701376/what-about-having-a-hydropneumothorax-every-month
#14
Sara Lopes, João Maciel, Pedro Cabral Bastos, Paulo Pinho
INTRODUCTION: Endometriosis is a pathological, benign, inflammatory condition characterized by the presence of endometrial glands and stroma outside the uterine cavity, typically in the pelvis. In rare conditions, this estrogen-dependent disease may be extrapelvic, presenting with a variety of symptoms, including Thoracic Endometriosis. METHODS: A 37 year-old woman presented with her third right hydropneumothorax in three months. Her medical history included infertility, an ovarian mass (in study), biliary diskinesia and protein C deficiency...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29666746/unusual-life-threatening-pneumothorax-complicating-a-ruptured-complex-aspergilloma-in-an-immunocompetent-patient-in-cameroon
#15
Bernadette Ngo Nonga, Bonaventure Jemea, Angele O Pondy, Daniel Handy Eone, Marie Claire Bitchong, Olivier Fola, Atems Nkolaka, Gilles Martin Londji
An aspergilloma is a well-recognized lesion of the lung caused most of the time by the fungus Aspergillus fumigatus . Its main complication is hemoptysis and has been very rarely associated with tension pneumothorax. We present the case of a 47-year-old man with a history of treated and healed tuberculosis, which was successfully managed in our service for a ruptured right upper lobe complexed aspergilloma, complicated by a massive and tension pneumothorax. The patient underwent thoracotomy and lung resection with quick recovery...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29630082/pulmonary-hydatid-disease-with-aspergillosis-an-unusual-association-in-an-immunocompetent-host
#16
Rahul Chanderhas Goyal, Ruchita Tyagi, Bhavna Garg, Atul Mishra, Neena Sood
Echinococcosis is a common cause of pulmonary cavities. Aspergillus fumigatus, a saprophytic fungus, can colonise pulmonary cavities caused by tuberculosis, sarcoidosis, echinococcosis, bronchiectasis and neoplasms. Infection by Aspergillus is often seen in immunosuppressed cases. However, co-infection of Aspergillus with pulmonary echinococcosis is unexpected and very unusual, especially in an immunocompetent patient. We present the case of a 45-year-old immunocompetent male who came with non-resolving pneumonia and fever for 8 months and dyspnoea since 15 days accompanied by recurrent episodes of hemoptysis since 5 days...
April 9, 2018: Türk Patoloji Dergisi
https://www.readbyqxmd.com/read/29607955/successful-long-term-management-of-two-cases-of-moderate-hemoptysis-due-to-chronic-cavitary-pulmonary-aspergillosis-with-bronchial-occlusion-using-silicone-spigots
#17
Naohiro Oda, Makoto Sakugawa, Shinobu Hosokawa, Nobuaki Fukamatsu, Akihiro Bessho
Chronic pulmonary aspergillosis is a major cause of life-threatening hemoptysis. In symptomatic patients with simple aspergillomas, surgery is the main therapeutic method for preventing or treating life-threatening hemoptysis. However, the risks of both death and complications are higher in chronic cavitary pulmonary aspergillosis than in simple aspergilloma. We herein report two patients with persistent moderate hemoptysis due to chronic cavitary pulmonary aspergillosis who were not indicated for surgery, but were able to undergo successful long-term management with bronchial occlusion using silicone spigots...
March 30, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29607415/small-cell-lung-cancer-presenting-as-fatal-pulmonary-hemorrhage
#18
Jun Hyeok Lim, Jeong-Seon Ryu, Sang Yong Cho, Hyun-Jung Kim, Sang Hoon Jeon, Jung Soo Kim, Hae-Seong Nam, Jae Hwa Cho, Seung Min Kwak, Hong Lyeol Lee
Small-cell lung cancer (SCLC) is a lung cancer histological subtype unusual in its favorable response to cytotoxic chemotherapy. Life-threatening manifestations at presentation are rarely reported and should be an important clinical concern. We report a case of a 63-year-old man presenting with rapid-onset refractory severe thrombocytopenia, development of massive hemoptysis, and death from respiratory failure. This case provides clinicians a reference for this unusual presentation and carries clinical implications for managing SCLC patients...
2018: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/29594190/complex-pulmonary-aspergilloma-surgical-challenges-in-a-third-world-setting
#19
Bernadette Ngo Nonga, Guy Aristide Bang, Bonaventure Jemea, Eric Savom, Perfura Yone, Ngahane Mbatchou, Jean Jacques Ze
Background: Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon. We report our experience of surgical management of PA in this environment. Method: We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29552943/pulmonary-artery-pseudoaneurysm-in-hyper-ige-syndrome-rare-complication-with-successful-endovascular-management
#20
Arun Sharma, Sanjeev Kumar, Priya Jagia
Hyper-IgE syndrome also known as Job syndrome is characterized by elevation of circulating immunoglobulin (IgE) levels and is usually associated with recurrent bacterial infections of the skin and sinopulmonary tract. Though bacterial pulmonary abscess and pneumatocele formation have been described, pulmonary artery pseudoaneurysm in Job syndrome has not been reported in literature. Our report describes a case of large pulmonary artery pseudoaneurysm in a child with Job syndrome, who presented with massive hemoptysis...
January 1, 2018: Vascular and Endovascular Surgery
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