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Interact Cardiovasc Thorac Surg · Feb 2011
Case ReportsLife-threatening hemoptysis due to left inferior phrenic artery to pulmonary artery fistula rescued by extracorporeal membrane oxygenation therapy.
- Shao-Jung Hsu, Yung-Hung Luo, Yu-Chin Lee, and Kuang-Yao Yang.
- Department of Chest Medicine, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Province of China. sjhsu@vghtpe.gov.tw
- Interact Cardiovasc Thorac Surg. 2011 Feb 1; 12 (2): 337-8.
AbstractLife-threatening hemoptysis due to bronchiectasis is an emergency and needs immediate bronchial angiographic embolization or surgical intervention. Most of the bleeding events arise from the bronchial artery. We report a very rare case of a patient who had bronchiectasis, but with bleeding from the left phrenic artery to pulmonary artery fistula, an artery originating from abdominal aorta. In this case, we also demonstrate that extracorporeal membrane oxygenation without heparinization as a bridge tool for life-threatening hemoptysis could allow the patient to undergo definite therapy more successfully.
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