scholarly journals Bronchial artery to pulmonary artery fistula presenting with massive hemoptysis in a pediatric patient

2021 ◽  
Author(s):  
Aoife Corcoran ◽  
Silvia Cardenas

Author(s):  
J. Johns ◽  
V. Secasanu ◽  
S. Doyle ◽  
C.R. Spitzer ◽  
M.S. Makary ◽  
...  


2021 ◽  
pp. 1-4
Author(s):  
Nader Francis ◽  
◽  
Ahmad Al Kamali ◽  
Sinan Yavuz ◽  
◽  
...  

Hemoptysis is a rare, life-threatening condition in childhood defined as bleeding into the lungs due to underlying disorders or respiratory tract abnormalities. The bleeding from an arterial malformation to normal lung segments without underlying cardiovascular or pulmonary disorders is widely reported in adults but extremely rare in the pediatric age group. Bronchial artery aneurysm (BAA) is a rare vascular malformation complicated with a bronchial artery to pulmonary artery (BA PA) fistula. BAAs are life-threatening conditions because of the substantial risk of rupture that can cause massive hemoptysis. In such a case, BAA embolization (BAAE) has become essential management. We report here previously healthy child presented with massive hemoptysis due to systemic-pulmonary fistula, which was bleeding controlled by BAAE



Author(s):  
Aoife Corcoran ◽  
Silvia Cardenas

Hemoptysis is a serious and potentially life-threatening event. Mortality is estimated at 13% for this chief complaint with age, volume of hemoptysis and receipt of blood products as risk factors for mortality. Hemoptysis is mostly seen in those with underlying congenital cardiac conditions or Cystic Fibrosis. We describe a unique case of a previously healthy 10 year old male who presented to the ED by EMS with a moderate volume episode of hemoptysis. He was admitted to the PICU where a sudden episode of massive hemoptysis precipitated by forced respiratory effort occurred during his examination. He decompensated and was emergently brought to the OR for airway evaluation by ENT and pulmonology. A large clot was found in the RML segment with brisk bleeding following removal of the clot. A 5 Fr bronchial blocker was placed to achieve hemostasis. Bronchial artery angiogram by IR demonstrated extravasation of contrast from right bronchial artery to segmental right lower lobe pulmonary artery shunt. He underwent embolization of the right bronchial artery. He was extubated the following day after no recurrent bleeding was confirmed with bronchoscopy. BA-PA fistulas are rare vascular anomalies in which an anastomosis is formed between systemic and pulmonary arteries. They are most commonly acquired, often described as secondary to chronic inflammatory lung diseases. BA-PA fistulas can also be congenital and have been seldom described in the literature. Our case highlights the importance of this rare diagnosis, which must remain on a pediatric pulmonologist’s differential due to the significant associated mortality.



CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 519A ◽  
Author(s):  
Caleb Hsieh ◽  
Christina Lee ◽  
Keren Fogelfeld ◽  
Nader Kamangar


2017 ◽  
Vol 56 (6) ◽  
pp. 687-689 ◽  
Author(s):  
Emi Yakushiji ◽  
Shinichiro Ota ◽  
Tomohiro Komatsu ◽  
Makoto Ayaori ◽  
Katsunori Ikewaki


1983 ◽  
Vol 27 (3) ◽  
pp. 236-239 ◽  
Author(s):  
JOHN H. WOODRING ◽  
ANDREW M. FRIED ◽  
CHARLES ORR ◽  
STANLEY REHM


1995 ◽  
Vol 9 (1) ◽  
pp. 91-95
Author(s):  
Yuichi Izumi ◽  
Masae Haga ◽  
Hiroshi Kubota ◽  
Kiyotaka Itoh ◽  
Setsuyuki Otake


2013 ◽  
Vol 03 (01) ◽  
pp. 14-17 ◽  
Author(s):  
Yoshiro Matsuo ◽  
Takuya Okada ◽  
Masato Yamaguchi ◽  
Akhamadu Muradi ◽  
Teruaki Okuno ◽  
...  


2015 ◽  
Vol 99 (1) ◽  
pp. e19-e20 ◽  
Author(s):  
Daniel G. VanDerPloeg ◽  
William R. Strong ◽  
Steven J. Krohmer ◽  
William N. O’Connor ◽  
Jeremiah T. Martin


2020 ◽  
Vol 31 (10) ◽  
pp. 1610-1611
Author(s):  
Kenkichi Michimoto ◽  
Shinsuke Takenaga ◽  
Takahiro Higuchi ◽  
Hitomi Naruse ◽  
Shingo Taguchi


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