바로가기메뉴

본문 바로가기 주메뉴 바로가기

Successful Embolization in the Patient with Hemoptysis Due to Right Inferior Phrenic Artery-pulmonary Artery Anastomosis and Pseudoaneurysm

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2009, v.66 no.4, pp.319-323







  • Downloaded
  • Viewed

Abstract

The primary cause of hemoptysis is the bronchial artery. However, it should be noted that pulmonary artery and other vessels can cause hemoptysis. If the source of the bleeding is not determined after embolization, other evaluations are needed. Systemic-pulmonary anastomosis and pulmonary artery pseudo-aneurysm are rare vascular abnormalities with varying etiologies. An accurate and rapid diagnosis is needed in hemoptysis, since the cause may be life-threatening. We report a case of a 77-years-old man with persistent hemoptysis due to the right inferior phrenic artery - pulmonary artery anastomosis and pseudoaneurysm. After the embolization of the inferior phrenic artery, the hemoptysis was successfully treated.

keywords
False Aneurysm, Hemoptysis, Embolization

Reference

1.

Remy-Jardin M, Remy J. Spiral CT angiography of the pulmonary circulation. Radiology 1999;212:615-36.

2.

Fraser RS, Muller NL, Colman N, Pare PD. Pulmonary hypertension and edema. In: Fraser RS, Muller NL, Colman N, Pare PD, editors. Diagnosis of disease of the chest. Philadelphia: Saunders; 1999. p. 1935-7.

3.

Webb WR, Jacobs RP. Transpleural abdominal systemic artery-pulmonary artery anastomosis in patients with chronic pulmonary infection. AJR Am J Roentgenol 1977;129:233-6.

4.

Chung JW, Park JH, Han JK, Choi BI, Kim TK, Han MC. Transcatheter oily chemoembolization of the inferior phrenic artery in hepatocellular carcinoma: the safety and potential therapeutic role. J Vasc Interv Radiol 1998;9:495-500.

5.

Takanami I. Massive haemoptysis due to chronic pancreatitis: control with inferior phrenic artery embolization. Eur J Cardiothorac Surg 2000;18:120-2.

6.

Khalil A, Fartoukh M, Tassart M, Parrot A, Marsault C, Carette MF. Role of MDCT in identification of the bleeding site and the vessels causing hemoptysis. AJR Am J Roentgenol 2007;188:117-25.

7.

Shigemura N, Wan IY, Yu SC, Wong RH, Hsin MK, Thung HK, et al. Multidisciplinary management of lifethreatening massive hemoptysis: a 10-year experience. Ann Thorac Surg 2009;87:849-53.

8.

Chun HJ, Byun JY, Yoo SS, Choi BG. Added benefit of thoracic aortography after transarterial embolization in patients with hemoptysis. AJR Am J Roentgenol 2003;180:1577-81.

Tuberculosis & Respiratory Diseases