• Am. J. Med. Sci. · Dec 2022

    Review Case Reports

    Pulmonary hemorrhage after cardiac resynchronization therapy device implantation - A systematic review.

    • Ali Haider Jafry, Syeda Maheen Raza, Awais Bajwa, Ahmad Hassan, Khawaja Hassan Akhtar, Huzaifah Salat, and Tony Abdo.
    • Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Electronic address: ali.aj94@hotmail.com.
    • Am. J. Med. Sci. 2022 Dec 1; 364 (6): 796802796-802.

    AbstractCardiac implantable electronic devices are being increasingly used for a variety of cardiovascular diseases. We describe a rare case of massive hemoptysis after device implantation. The patient was managed conservatively with reversal of anticoagulation and inhaled tranexamic acid and had a successful recovery. A systematic review accompanies the case presentation. The modality and difficulty of access appear to play a significant role in precipitating bleeding, believed to be the result of direct injury to the pulmonary parenchyma and vasculature. The condition is often self-limiting; however, anticoagulation reversal, intubation, endobronchial intervention, and transarterial embolization may be indicated in more severe pulmonary hemorrhage.Copyright © 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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