Multidisciplinary Management of Lung Destruction Presenting with Massive Hemoptysis and Asphyxia
American Journal of Clinical and Experimental Medicine
Volume 6, Issue 3, May 2018, Pages: 83-86
Received: Apr. 23, 2018;
Accepted: May 8, 2018;
Published: May 30, 2018
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Xiaowen He, Department of Endocrinology and Metabolism, 2nd Affiliated Hospital of Zhejiang University Medical School, Hangzhou, China
Guoxing Chen, Department of Cardiothoracic Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China
Xueming He, Department of Cardiothoracic Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China
Zhongliang He, Department of Cardiothoracic Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China
Lung destruction with massive hemoptysis is a life-threatening condition associated with a poor prognosis in the absence of prompt management. Asphyxia due to the flooding of the airways rather than exsanguination is usually the cause of death, so the initial treatment is resuscitation and protecting the airway. Prompt identification of its causes and location is mandatory to do an adequate treatment and to avoid fatal complications. We describe the case of a patient who was an emergency admission with large volume hemoptysis and asphyxia. After lung destruction was confirmed the cause of massive hemoptysis by a chest computed tomography (CT)，She underwent bronchial artery embolization (BAE) and controlled the bleeding. But due to recurrent bleeding two days later, she performed pneumonectomy and achieved hemostasis. BAE is now considered as first-line therapy or may be used as a tool to stabilize the patient before surgery. Emergency pneumonectomy is indicated for lung destruction with recurrent hemoptysis not controlled by embolization and is generally considered a last resort.
Multidisciplinary Management of Lung Destruction Presenting with Massive Hemoptysis and Asphyxia, American Journal of Clinical and Experimental Medicine.
Vol. 6, No. 3,
2018, pp. 83-86.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Radchenko C., A. H. Alraiyes, S. Shojaee. (2017) A systematic approach to the management of massive hemoptysis. J Thorac Dis 9 (Suppl 10), S1069-S1086.
Larici, A. R., P. Franchi, M. Occhipinti, A. Contegiacomo, A. del Ciello, et al. (2014) Diagnosis and management of hemoptysis. Diagn Interv Radiol 20, 299-309.
Kucukay, F., O. M. Topcuoglu, A. Alpar, C. M. Altay, M. B. Kucukay, et al. (2018) Bronchial artery embolization with large sized (700–900 lm) tris-acryl microspheres (Embosphere) for massive hemoptysis: long-term results (Clinical research). Cardiovasc Intervent Radiol 41, 225-230.
Paul, S., W. Andrews, A. Nasar, J. L. Port, P. C. Lee, et al. (2013) Prevalence and outcomes of anatomic lung resection for hemoptysis: an analysis of the nationwide inpatient sample database. Ann Thorac Surg 96, 391–398.
Chen, Q. K., G. N. Jiang, J. A. Ding. (2012) Surgical treatment for pulmonary aspergilloma: a 35-year experience in the Chinese population. Interactive Cardiovascular and Thoracic Surgery 15, 77–80.
Al-Refaie, R. E., S. Amer, M. El-Shabrawy. (2013) Surgical treatment of bronchiectasis: a retrospective observational study of 138 patients. J Thorac Dis 5, 228-233.
Bai, L. Q., Z. Hong, C. F. Gong, D. J. Yan, Z. K. Liang. (2012) Surgical treatment efficacy in 172 cases of tuberculosis-destroyed lungs. Eur J Cardiothorac Surg 41, 335–340.
Li, Y. P., X. F. Hu, G. N. Jiang, C. Chen. (2017) Pneumonectomy for treatment of destroyed lung: a retrospective study of 137 patients. Thorac Cardiovasc Surg 65, 528-534.
Varona Porres, D., O. Persiva, E. Pallisa, J. Andreu. (2017) Radiological findings of unilateral Tuberculous lung destruction. Insights Imaging 8, 271–77.
Fartoukh, M., B. Khoshnood, A. Parrot, A. Khalil, M. F. Carette, et al. (2012) Early prediction of in-hospital mortality of patients with hemoptysis: an approach to defining severe hemoptysis. Respiration 83, 106–114.
Shigemura, N., I. Y. Wan, S. C. Yu, R. H. Wong, M. K. Hsin, et al. (2009) Multidisciplinary management of life-threatening massive hemoptysis: a 10-year experience. Ann Thorac Surg 87, 849–853.
Vial, M. R., B. Horwitz, C. Ramos, K. Czischke, G. Eapen, et al. (2018) Massive haemoptysis TB or not TB. Thorax, Mar 23. pii: thoraxjnl-2018-211564.