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 The efficacy and safety of bronchoscopy for treating transluminal broncholiths

2021 ◽  
Vol 19 ◽  
pp. 205873922110076
Author(s):  
Hong Wang ◽  
Li Zhang ◽  
Fangwei Li ◽  
Yixin Wan
Keyword(s):  
Surgical Treatment ◽  
Tissue Injury ◽  
Massive Hemorrhage ◽  
Massive Hemoptysis ◽  
Efficacy And Safety ◽  
Bronchial Wall ◽  
Imaging Characteristics ◽  
Elective Surgical Procedure ◽  
Symptoms And Signs

We aim to reveal the clinical features of transluminal broncholiths and to evaluate the efficacy and safety of bronchoscopy for treating transluminal broncholiths. Patients with transluminal broncholiths were enrolled in this retrospective study in Lanzhou University Second Hospital between January 2010 and December 2018. Then age, gender, symptoms, and signs, imaging characteristics, treatment methods, outcomes as well as complications were retrospectively analyzed. Twenty-eight patients with 36 pieces of transluminal broncholiths were diagnosed using chest CT and bronchoscopy, of which two patients underwent broncholiths removal via an elective surgical procedure and six patients were treated with one-time removal of broncholiths by bronchoscopy. Among the six patients who received one-time removal of stones by bronchoscopy, two underwent massive hemorrhage and one suffered from bronchial wall laceration in the process of broncholiths removal, all of the three patients received surgical treatment eventually. No serious complications occurred in the other 20 patients who underwent broncholiths removal via repeated bronchoscopy. Removal of transluminal broncholiths by bronchoscopy are effective and safe with less complications. When it is difficult to remove the transluminal broncholith completely at one time, repeated bronchoscopy could be chosen: First, to remove the portion which causes airway obstruction; and then to remove the remaining part by repeated bronchoscopy during the follow-up period. In case that severe distal lung tissue injury, massive hemoptysis or bronchial wall laceration occurs or the diagnosis of broncholiths is unclear, surgical treatment is required.

Bronchial artery embolization for massive hemoptysis: Long-term follow-up

2014 ◽  
Vol 23 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Oren Fruchter ◽  
Sonia Schneer ◽  
Victoria Rusanov ◽  
Alexander Belenky ◽  
Mordechai R Kramer
Keyword(s):  
Bronchial Artery ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Long Term Follow Up

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 Two cases of massive hemoptysis due to bronchial artery supply to previously embolized pulmonary arteriovenous malformation

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Aoi Ootaka ◽  
◽  
Tomoki Tozawa ◽  
Masazumi Matsuda ◽  
Motoko Sasajima ◽  
...  
Keyword(s):  
Arteriovenous Malformations ◽  
Bronchial Artery ◽  
Gelatin Sponge ◽  
Massive Hemoptysis ◽  
Pulmonary Arteriovenous Malformations ◽  
Bronchial Artery Embolization ◽  
Patient Case ◽  
Artery Embolization ◽  
Short Time

We present two patients who experienced massive hemoptysis during follow up after pulmonary artery embolization with coils for Pulmonary Arteriovenous Malformations (PAVM). The treated PAVMs responsible for hemoptysis were supplied from the bronchial artery. Hemoptysis was controlled for a short time by bronchial artery embolization with n-butyl-2-cyanoacrylate in case 1 and gelatin sponge in Case 2. Thereafter, however, one patient (Case 2) died of recurrent massive hemoptysis. These cases may indicate that bronchial artery supply is the cause of both hemoptysis and reperfusion of treated PAVMs.

scholarly journals Endovascular Treatment of Thoracic Aortic Aneurysm Causing Life-Threatening Hemoptysis: Two Case Reports

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Şükrü Oğuz ◽  
Süleyman Bekirçavuşoğlu ◽  
Zerrin Pulathan
Keyword(s):  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Thoracic Aortic Aneurysm ◽  
Case Reports ◽  
Lung Parenchyma ◽  
Massive Hemoptysis ◽  
Life Threatening ◽  
Endovascular Approach ◽  
Old Men

Purpose. To describe two patients presenting life-threatening hemoptysis with saccular thoracic aortic aneurysm penetrating lung parenchyma and its endovascular treatment. Case Report. We present two cases of 73- and 74-year-old men with massive hemoptysis secondary to saccular thoracic aortic aneurysm ruptured lung parenchyma who were successfully treated with endovascular approach with 3rd month’s imaging follow-up. Conclusion. Thoracic aortic aneurysm is one of the rarest causes of hemoptysis and thoracic endovascular aortic repair (TEVAR) and can be used for an effective and problem-solving treatment approach.

Bronchial artery embolization: first-line option for managing massive hemoptysis

2017 ◽  
Vol 25 (9) ◽  
pp. 618-622 ◽  
Author(s):  
Yutaka Miyano ◽  
Masato Kanzaki ◽  
Takamasa Onuki
Keyword(s):  
Bronchial Artery ◽  
Invasive Technique ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
First Line ◽  
Artery Embolization ◽  
Short Term ◽  
Elective Treatment ◽  
History Of

Background Today, treatment for hemoptysis is not limited to surgery, and among the various options, bronchial artery embolization is regarded as an effective approach. Methods In this retrospective study, 179 of 389 patients with massive hemoptysis were treated with bronchial artery embolization, without taking into account the underlying pathological lesions responsible (bronchiectasis in 41, aspergilloma in 29, lung cancer in 25, old tuberculosis in 23, pyothorax in 19, others in 23). Results Bronchial artery embolization failed in 12 cases. In the 167 successful cases, surgery was required in 16 and bronchial occlusion was performed in 4; 3 patients died due to recurrent massive hemoptysis. After bronchial artery embolization, thoracic surgery for reasons other than hemostasis was carried out in 15 patients. Bronchial artery embolization was performed in 31 patients with hemoptysis who had a history of chest surgery. Four patients underwent bronchial occlusion, and immediate hemostasis was achieved in all of them. Conclusions For treatment of hemoptysis, bronchial artery embolization is a safe and minimally invasive technique that can be performed repeatedly, and provides not only short-term but also prolonged effectiveness; thus it can be used as a first-line treatment irrespective of the underlying pathological lesion. Bronchial occlusion may be useful for emergency hemostasis, but it warrants careful follow-up with consideration of additional elective treatment such as bronchial artery embolization.

Severe Head Injury linked to Subsequent Development of Malignant Brain Tumour within a Short Period- A Case Report

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Head Injury ◽  
Brain Tumour ◽  
Severe Head Injury ◽  
Case Reports ◽  
Subsequent Development ◽  
Malignant Brain Tumour ◽  
Tumour Development ◽  
Short Period ◽  
The Brain

There have been a few case reports of head injury leading to brain tumour development in the same region as the brain injury. Here we report a case where the patient suffered a severe head injury with contusion. He recovered clinically with conservative management. Follow up Computed Tomography scan of the brain a month later showed complete resolution of the lesion. He subsequently developed malignant brain tumour in the same region as the original contusion within a very short period of 15 months. Head injury patients need close follow up especially when severe. The link between severity of head injury and malignant brain tumour development needs further evaluation. Role of anti-inflammatory agents for prevention of post traumatic brain tumours needs further exploration.

Mechanical thrombectomy in pediatric stroke: systematic review, individual patient data meta-analysis, and case series

2019 ◽  
Vol 24 (5) ◽  
pp. 558-571 ◽  
Author(s):  
Kartik Bhatia ◽  
Hans Kortman ◽  
Christopher Blair ◽  
Geoffrey Parker ◽  
David Brunacci ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Mechanical Thrombectomy ◽  
Case Reports ◽  
Meta Analysis ◽  
Case Series ◽  
Neurological Outcomes

OBJECTIVEThe role of mechanical thrombectomy in pediatric acute ischemic stroke is uncertain, despite extensive evidence of benefit in adults. The existing literature consists of several recent small single-arm cohort studies, as well as multiple prior small case series and case reports. Published reports of pediatric cases have increased markedly since 2015, after the publication of the positive trials in adults. The recent AHA/ASA Scientific Statement on this issue was informed predominantly by pre-2015 case reports and identified several knowledge gaps, including how young a child may undergo thrombectomy. A repeat systematic review and meta-analysis is warranted to help guide therapeutic decisions and address gaps in knowledge.METHODSUsing PRISMA-IPD guidelines, the authors performed a systematic review of the literature from 1999 to April 2019 and individual patient data meta-analysis, with 2 independent reviewers. An additional series of 3 cases in adolescent males from one of the authors’ centers was also included. The primary outcomes were the rate of good long-term (mRS score 0–2 at final follow-up) and short-term (reduction in NIHSS score by ≥ 8 points or NIHSS score 0–1 at up to 24 hours post-thrombectomy) neurological outcomes following mechanical thrombectomy for acute ischemic stroke in patients < 18 years of age. The secondary outcome was the rate of successful angiographic recanalization (mTICI score 2b/3).RESULTSThe authors’ review yielded 113 cases of mechanical thrombectomy in 110 pediatric patients. Although complete follow-up data are not available for all patients, 87 of 96 (90.6%) had good long-term neurological outcomes (mRS score 0–2), 55 of 79 (69.6%) had good short-term neurological outcomes, and 86 of 98 (87.8%) had successful angiographic recanalization (mTICI score 2b/3). Death occurred in 2 patients and symptomatic intracranial hemorrhage in 1 patient. Sixteen published thrombectomy cases were identified in children < 5 years of age.CONCLUSIONSMechanical thrombectomy may be considered for acute ischemic stroke due to large vessel occlusion (ICA terminus, M1, basilar artery) in patients aged 1–18 years (Level C evidence; Class IIb recommendation). The existing evidence base is likely affected by selection and publication bias. A prospective multinational registry is recommended as the next investigative step.

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