Lung Bleeding Caused by Tumoral Infiltration into the Pulmonary Artery—Minimally Invasive Repair Using Microcoils
A 45-year-old male was admitted to our hospital, having experienced a sudden life-threatening hemoptysis. The patient’s history was without any pathological findings except for a history of 25 pack years of smoking. For 2 months he had suffered from dyspnea and weight loss of about 5 kg. The life-threatening situation was caused not only by blood loss (hemoglobin dropped to 8.5 mg/dl) but by a significant deterioration of respiration due to coughing and the resulting massive agitation of the patient. Therefore, it was decided to keep the patient under general anesthesia for further treatment to better control the respiration situation and to stabilize him, after which bronchoscopy was performed. This examination showed active bleeding arising from a bronchus of the right upper lobe, however, exact localization of the origin of the bleeding was not possible and therefore adrenaline was successfully administered intrabronchially to stop the hemoptysis. After this tentative therapy the...
KeywordsPulmonary Artery Bronchial Artery Deutschland GmbH Iomeprol Central Pulmonary Artery
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