Efficacy of Thoracic Endovascular Aortic Repair for Recurrent Hemoptysis of Bronchial-Pulmonary Artery Fistula Resistance to Several Bronchial Artery Embolization
- VernacularTitle:複数回の気管支動脈塞栓術で喀血のコントロールが困難であった気管支動脈肺動脈瘻に対して TEVAR を行った1例
- Author:
Hiroaki YAMAMOTO
1
;
Hiroyuki WATANABE
1
;
Masayoshi OTSU
1
;
Daisuke KANEYUKI
1
Author Information
- Keywords: hemoptysis; thoracic endovascular aortic repair; bronchial-pulmonary artery fistula; bronchial artery embolization
- From:Japanese Journal of Cardiovascular Surgery 2020;49(4):233-236
- CountryJapan
- Language:Japanese
- Abstract: An 84-year-old woman treated for tuberculosis in childhood presented to our emergency department with chronic cough and massive hemoptysis. Contrast-enhanced computed tomography (CT) on admission revealed a bronchial-pulmonary artery fistula (BPAF) for which she underwent bronchial artery embolization (BAE) and developed hemoptysis postoperatively. Contrast-enhanced CT on admission revealed a connection between the right coronary and a bronchial artery, suggesting coronary-to-bronchial artery communication. Hemoptysis persisted despite coiling of a branch of the right coronary artery. Therefore, we were consulted to perform thoracic endovascular aortic repair (TEVAR), which we performed as a semi-emergency. She did not show hemoptysis or paraplegia postoperatively and was discharged on postoperative day 40. TEVAR is effective for a BPAF in patients in whom BAE cannot control hemoptysis.
