scholarly journals A rare and fatal respiratory disease: bronchial Dieulafoy’s disease

2020 ◽  
Vol 14 ◽  
pp. 175346662092923
Author(s):  
Shi-xia Liao ◽  
Peng-peng Sun ◽  
Bang-guo Li ◽  
Shuang-fei He ◽  
Mao-mao Liu ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Arterial Embolization ◽  
Normal Mucosa ◽  
Middle Lobe ◽  
Massive Hemoptysis ◽  
Lobe Bronchus ◽  
Bronchial Lumen ◽  
Bronchial Arterial Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

A 66-year-old woman had two severe episodes of massive hemoptysis without any premonitory symptoms, with approximately 400–500 ml blood each time. Bronchoscopic exam revealed a smooth and pulsatile protrusion that was approximately 8–10 mm in diameter found at the beginning of the right middle lobe bronchus in the bronchial lumen. The protrusion arose from the surface with absolutely normal mucosa. Selective bronchial arteriography showed that elongated, tortuous, and dilated branches of the bronchial artery in the region of the middle lobe bronchus. Further bronchial arterial embolization (BAE) is recommended, although the patient currently has no active bleeding. Bronchial Dieulafoy’s disease (BDD) is a rare and life-threatening disease. Selective bronchial arteriography is a diagnostic tool to detect and locate abnormal arteries. There is no unified guideline or expert consensus on the treatment of BDD. Selective BAE or surgical resection is usually used as a first-line treatment to control hemoptysis. The reviews of this paper are available via the supplemental material section.

scholarly journals Dieulafoy’s disease of the bronchial tree: a case report

2017 ◽  
Vol 135 (4) ◽  
pp. 396-400 ◽  
Author(s):  
Massoud Baghai Wadji ◽  
Athena Farahzadi
Keyword(s):  
Case Report ◽  
Lung Resection ◽  
Lower Lobe ◽  
Fiberoptic Bronchoscopy ◽  
Arterial Embolization ◽  
Bronchial Tree ◽  
Massive Hemoptysis ◽  
Selective Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

ABSTRACT CONTEXT: Dieulafoy’s disease of the bronchial tree is a very rare condition. Few cases have been reported in the literature. It can be asymptomatic or manifest with massive hemoptysis. This disease should be considered among heavy smokers when recurrent massive hemoptysis is present amid otherwise normal findings. The treatment can be arterial embolization or surgical intervention. CASE REPORT: A 16-year-old girl was admitted to the emergency department due to hemoptysis with an unknown lesion in the bronchi. She had suffered massive hemoptysis and respiratory failure one week before admission. Fiberoptic bronchoscopy revealed a lesion in the bronchus of the right lower lobe, which was suspected to be a Dieulafoy lesion. Segmentectomy of the right lower lobe and excision of the lesion was carried out. The outcome for this patient was excellent. CONCLUSION: Dieulafoy’s disease is a rare vascular anomaly and it is extremely rare in the bronchial tree. In bronchial Dieulafoy’s disease, selective embolization has been suggested as a method for cessation of bleeding. Nevertheless, standard anatomical lung resection is a safe and curative alternative.

scholarly journals Sequelae Tuberkulosis dengan Hemoptisis Rekurens

2019 ◽  
Vol 1 (3) ◽  
pp. 88
Author(s):  
Desilia Atikawati ◽  
Isnin Anang Marhana
Keyword(s):  
Bronchial Artery ◽  
Middle Lobe ◽  
Active Bleeding ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Vascular Abnormality ◽  
Pleural Thickening ◽  
Pulmonary Arteriography ◽  
The Right

Background: Various sequelae and complications can occur in treated or untreated tuberculosis (TB). One of complications in  the lungs is hemoptysis, due to alterations of pulmonary vascular structure. Hemoptysis as TB sequelae can happen recurrently and  massively. Case: We present the case of 31 year old man with recurrent hemoptysis since 1 year before admitted to hospital. Patient had  a history of receiving antituberculosis drugs (ATD) before. Chest xray showed pleural thickening and opacity in right hemithorax with  signs of loss of volume. Bronchoscopy showed active bleeding in lateral segment of right lung middle lobe. Chest CT showed destroyed  right lung. Hemoptysis still existed despite the given conventional therapy, thus patient underwent pulmonary arteriography. The result  showed extensive vascular abnormality in the right lung with arteriovenous fistula on right bronchial artery and aneurysmatic branch of  superior bronchial and inner intercostal arteries. During the procedure, there was no active bleeding, so bronchial artery embolization  was adjourned. Patient then experienced recurrent and massive hemoptysis, thus right pneumonectomy was done. During the surgery,  there was uncontrolled active bleeding that caused the patient’s death. Conclusion: This case illustrates recurrent hemoptysis as one of  severe TB sequelae. In extensive pulmonary vascular abnormality, pneumonectomy can cause uncontrolled active bleeding. Bronchial  artery embolization can be used as an alternative to treat patients with recurrent homptysis.

scholarly journals Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review

2021 ◽  
Vol 9 ◽  
Author(s):  
Yang Chen ◽  
Yiting Mao ◽  
Xingfeng Cheng ◽  
Ruihua Xiong ◽  
Ying Lan ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Case Reports ◽  
Good Health ◽  
Massive Hemorrhage ◽  
Massive Hemoptysis ◽  
Constant Diameter ◽  
Fatal Hemorrhage ◽  
Endobronchial Ultrasonography ◽  
Dieulafoy’S Disease

Background: Bronchial Dieulafoy's disease (BDD), characterized by constant diameter arterial malformation, is rare, especially among infants. The pathogenesis and clinical features of pediatric patients are unknown. Misdiagnosis and biopsy operations may lead to potential massive hemorrhage, which endangers the patient's life.Case Presentation: Here, we present a case of a 9-month-old boy who was diagnosed with BDD with massive hemoptysis. The boy was cured by embolization of the bronchial artery and was in good health at the 1-year follow-up. In addition, we searched PubMed, Google Scholar, and Web of Science databases using keyword “Bronchial Dieulafoy's Disease (BDD)” and found six additional cases of pediatric BDD.Conclusion: It is still insufficient to draw a conclusion about the origin of the disease. Bronchial angiography and endobronchial ultrasonography are considered promising methods to diagnose Dieulafoy's disease of the bronchus. Bronchoscopy with transbronchial biopsy should not be deployed due to the high risk of fatal hemorrhage. Explicit clinical case reports of BDD are needed to enhance the understanding of this rare disease.

scholarly journals Postoperative hemorrhage from racemose hemangioma of the bronchial artery after esophageal cancer surgery

2017 ◽  
Author(s):  
Katsushi Takebayashi ◽  
Yasuhiro Tsubosa ◽  
Satoru Matsuda ◽  
Keisuke Kawamorita ◽  
Masahiro Niihara ◽  
...  
Keyword(s):  
Rare Disease ◽  
Bronchial Artery ◽  
Arterial Embolization ◽  
Postoperative Hemorrhage ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Endoscopic Screening ◽  
Cervical Incision ◽  
The Right ◽  
Racemose Hemangioma

Abstract Introduction: Racemose hemangioma of the bronchial artery is a rare disease. The diagnosis of racemose hemangioma is difficult when affected patients are asymptomatic, and causes unexplained hemoptysis. Selective bronchial artery embolization has become the first-line treatment for this rare disease. However, feasibility and safety of bronchial artery embolization was not reported in the case with permanent tracheostomy. Case presentation: A 44-year-old woman underwent endoscopic screening during which a circular tumor was detected in the cervical esophagus, which was confirmed as squamous cell carcinoma on biopsy. She underwent cervical esophagectomy with pharyngolaryngectomy through a cervical incision. Reconstruction was performed by free jejunal transfer and permanent tracheostomy. Six weeks after surgery, hemoptysis from permanent tracheostomy was observed. Computed tomography (CT) scan revealed no bleeding around the tracheostomy, and bronchoscopy could not identify the origin of the bleeding due to a large amount of blood clots obscuring the visual field. Bronchial arteriography showed a bent, meandering and dilated bronchial artery, extending to the right bronchus with vascular hyperplasia. We diagnosed primary racemose hemangioma of the bronchial artery, which was successfully treated by transcatheter arterial embolization of the bronchial artery. After embolization, bronchoscopy revealed no bleeding. Conclusion: Findings from this case suggest that bronchial angiography is essential for diagnosis of this disease, and selective bronchial artery embolization appears to be effective in treating this disease in patients with permanent tracheostomy. Accumulation of similar cases will help to elucidate the optimal diagnosis and treatment strategy for this condition.

scholarly journals Development of a model to predict recurrence after bronchial artery embolization for non-cancer related hemoptysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-Tao Yan ◽  
Guang-Dong Lu ◽  
Xiang-Zhong Huang ◽  
Da-Zhong Zhang ◽  
Kun-Yuan Ge ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cox Regression ◽  
Bronchial Artery ◽  
Model Performance ◽  
Arterial Embolization ◽  
Brier Score ◽  
Study Cohort ◽  
Imaging Features ◽  
Bronchial Arterial Embolization ◽  
Predictor Model

Abstract Background Relapse after effective bronchial arterial embolization (BAE) for controlling hemoptysis is not uncommon. Studies reported diverse predictors of recurrence. However, a model to assess the probability of recurrence in non-cancer related hemoptysis patients after BAE has not been reported. This study was to develop a model to predict recurrence after BAE for non-cancer related hemoptysis. Methods The study cohort included 487 patients who underwent BAE for non-cancer-related hemoptysis between January 2015 and December 2019. We derived the model’s variables from univariate and multivariate Cox regression analyses. The model presented as a nomogram scaled by the proportional regression coefficient of each predictor. Model performance was assessed with respect to discrimination and calibration. Results One-month and 1-, 2-, 3- and 5-year recurrence-free rates were 94.5%, 88.0%, 81.4%, 76.2% and 73.8%, respectively. Risk factors for recurrence were underlying lung diseases and the presence of systemic arterial-pulmonary circulation shunts. This risk prediction model with two risk factors provided good discrimination (area under curve, 0.69; 95% confidence interval, 0.62–0.76), and lower prediction error (integrated Brier score, 0.143). Conclusion The proposed model based on routinely available clinical and imaging features demonstrates good performance for predicting recurrence of non-cancer-related hemoptysis after BAE. The model may assist clinicians in identifying higher-risk patients to improve the long-term efficacy of BAE.

scholarly journals Foreign body extraction through the rigid bronchoscopy

2011 ◽  
Vol 68 (10) ◽  
pp. 878-880 ◽  
Author(s):  
Stanko Mrvic ◽  
Milos Milosavljevic ◽  
Dragan Stojkovic ◽  
Slobodan Milisavljevic ◽  
Dragce Radovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Segmental Bronchus ◽  
Foreign Body Extraction ◽  
The Right ◽  
High Level

Introduction. Foreign body aspiration into tracheobronchial tree represents an urgent condition at high level of risk. Etiology is different, and this condition is typical for all ages with highest incidence in pediatric population. Case report. A successful foreign body removal (partial denture) in a 34-year old man was presented. Radiography and computerized tomography of the chest showed a foreign body localized at the level of the right bronchus including the right middle lobe bronchus. By the use of rigid bronchoscopy, a foreign body was visualized and mobilized from the segmental bronchus in the first act, and then completely extracted. Conclusion. Efficient diagnostics and extraction are imperative for the aspirated foreign body preventing life-threatening complications.

scholarly journals A case of bronchial arterial embolization of massive hemoptysis.

1991 ◽  
Vol 38 (4) ◽  
pp. 396-400
Author(s):  
Youn Sik Lim ◽  
Jung Eun Suh ◽  
Suk Jeong ◽  
Dong Ill Cho ◽  
Jae Won Kim
Keyword(s):  
Arterial Embolization ◽  
Massive Hemoptysis ◽  
Bronchial Arterial Embolization

scholarly journals Repeat Episodes of Massive Hemoptysis Due to an Anomalous Origin of the Right Bronchial Artery in a Patient with a History of Coccidioidomycosis

2021 ◽  
Vol 23 (3) ◽  
pp. 89-92
Author(s):  
Blerina Asllanaj ◽  
◽  
Elizabeth Benge ◽  
Yi McWhworter ◽  
Sapna Bhatia
Keyword(s):  
Left Subclavian Artery ◽  
Bronchial Artery ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Bronchial Arteries ◽  
History Of ◽  
Symptomatic Remission ◽  
The Right ◽  
Right Bronchial Artery

Anomalous bronchial arteries originate outside the space bound by the T5 and T6 vertebrae at the major bronchi. Here, we highlight a case of a 37-year-old man with a past medical history of coccidioidomycosis and who presented with massive hemoptysis. A bronchial angiogram showed the patient had a right bronchial artery originating anomalously from the left subclavian artery. The patient ultimately underwent a bronchial artery embolization, after which he achieved symptomatic remission.

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