Thorac Cardiovasc Surg 2010; 58(4): 253-254
DOI: 10.1055/s-0029-1240781
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

A Patient with Massive Hemoptysis Treated by Videothoracoscopic Clipping of the Causative Aberrant Artery

E. Okur1 , I. Dilek1 , A. Saygi1 , S. Halezeroglu1
  • 1Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital, Istanbul, Turkey
Further Information

Publication History

received October 21, 2008

Publication Date:
31 May 2010 (online)

Abstract

Massive hemoptysis is a life-threatening situation and can have a variety of underlying causes. Bronchial arteries are mostly the source of bleeding but in rare cases an aberrant systemic artery may be present, causing hemoptysis. Here, we present a patient in whom an aberrant systemic artery was defined to be the cause of hemoptysis. Obstruction of this artery by videothoracoscopic clipping was curative for the patient's hemoptysis.

References

  • 1 Cahill B C, Ingbar D H. Massive hemoptysis. Assessment and management.  Clin Chest Med. 1994;  15 147-167
  • 2 Keller F S, Rosch J, Loflin T G, Nath P H, McElvein R B. Nonbronchial systemic collateral arteries: significance in percutaneous embolotherapy for hemoptysis.  Radiology. 1987;  164 687-692
  • 3 Jardin M, Remy J. Control of hemoptysis: systemic angiography and anastomoses of the internal mammary artery.  Radiology. 1988;  168 377-383
  • 4 Swanson K L, Johnson C M, Prakash U B S, McKusick M A, Andrews J C, Stanson A W. Bronchial artery embolization.  Chest. 2002;  121 789-795
  • 5 Yoon W, Kim J K, Kim Y H, Chung T W, Kang H K. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review.  Radiographics. 2002;  22 1395-1409

Dr. Erdal Okur

Thoracic Surgery
Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital

Maltepe

34758 Istanbul

Turkey

Phone: + 90 90 21 64 21 42 00

Fax: + 90 21 64 21 42 65

Email: erdalokur@hotmail.com