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- Title
Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair.
- Authors
Ishikawa, Natsuya; Kikuchi, Shinsuke; Ishidou, Kouhei; Hirofuji, Aina; Nakanishi, Sentaro; Ise, Hayato; Wakabayashi, Naohiro; Kamiya, Hiroyuki
- Abstract
An emergency thoracic endovascular aortic repair (TEVAR) with zone 2 landing without revascularization of the left subclavian artery was performed due to the impending rupture of a distal arch aneurysm in an old patient presenting hemoptysis. Two months later, the patient had recurrent massive hemoptyses and continued after additional zone 0 TEVAR. The lung parenchyma was considered to be the bleeding source and transcatheter pulmonary artery embolization was performed, and the episodes of massive hemoptysis appeared to have ceased. However, the patient died of sudden recurrent massive hemoptysis 40 days later. Inflammation and/or infection of the lung parenchyma adjunct to the aortic aneurysm could be cause of fatal hemoptysis, and aggressive therapy such as lung resection should be considered in such patients.
- Subjects
SUBCLAVIAN artery surgery; ENDOVASCULAR surgery; THORACIC surgery; HEMOPTYSIS; THERAPEUTIC embolization; DISEASE relapse; TREATMENT effectiveness; REVASCULARIZATION (Surgery); PULMONARY artery catheters; THORACIC aorta
- Publication
Clinical Medicine Insights: Case Reports, 2019, Vol 12, pN.PAG
- ISSN
1179-5476
- Publication type
Article
- DOI
10.1177/1179547619896577