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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 4

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An Med Asoc Med Hosp ABC 2014; 59 (4)

Massive hemoptysis treated with embolization of bronchial and pulmonary arteries

Díaz OFG, Guerrero HM, Martínez MJM

Language: Spanish
References: 12
Page: 291-294
PDF size: 263.37 Kb.


ABSTRACT

Hemoptysis is the spitting of blood that originates in the lungs or bronchial tubes. The unpredictable and potentially lethal course of massive hemoptysis requires prompt resuscitation, airway protection, and correction of coagulopathies. Early investigation with bronchoscopy is recommended for localization and control of bleeding by the application of topical adrenaline, balloon occlusion, or selective lung intubation. There is increasing acceptance of bronchial artery embolization as the treatment of choice for acute massive hemoptysis not controlled by conservative treatment, when a bronchial artery can be identified as the source of bleeding. Surgical resection remains the treatment of choice for particular conditions where the bleeding site is localized and the patient is fit for lung resection. We present the case of an 86-year-old woman with massive hemoptysis secondary to cavern by tuberculosis; a selective embolization of pulmonary arteries was performed: the right lobar with a plug device and the right bronchial with particles of polyvinyl alcohol.


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