Arteriovenous Malformation of the Bronchial Artery Showing Endobronchial Protrusion.

Soda, Hiroshi; Oka, M.; Kohno, Shigeru; Watanabe, Masami; Takatani, Hiroshi; Hara, Kohei

doi:10.2169/internalmedicine.34.797

Cited by 20 publications

(18 citation statements)

References 11 publications

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“…Among the 12 cases of Dieulafoy's disease reported in the literature, five were described in smokers who had no associated comorbidity [22][23][24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Cryptogenic haemoptysis in smokers: angiography and results of embolisation in 35 patients

Menchini¹,

Rémy‐Jardin²,

Faivre³

et al. 2009

Eur Respir J

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The aim of the present study was to describe angiographic findings and embolisation results in smokers with haemoptysis.We retrospectively reviewed the clinical data and angiographic findings from 35 patients with smoking-related bronchopulmonary disease and no associated comorbidity, who were referred for embolisation for mild (n56), moderate (n514) and severe (n515) haemoptysis. Spirometric classification subdivided our population into: 16 patients with chronic bronchitis but no airflow limitation; and 19 patients with chronic obstructive pulmonary disease (COPD) (stage I: n512; stage II: n55; stage III: n52).Bronchoscopy depicted focal submucosal vascular abnormalities in three patients and only endobronchial inflammation in 32 (91%) patients. Bronchial artery angiography revealed moderate (n518) or severe (n510) hypervascularisation in 28 (80%) patients, and normal vascularisation in seven (20%). No statistically significant difference was observed between the angiographic findings and the severity of COPD, tobacco consumption or the amount of bleeding. Cessation of bleeding was obtained by embolisation in 29 out of the 34 technically successful procedures (85%), requiring surgery in three out of five patients with recurrence. Follow-up (mean duration 7 yrs) demonstrated no recurrence of bleeding in 32 (94%) out of 34 patients and excluded late endobronchial malignancy.Smokers with various stages of COPD severity may suffer from haemoptysis that is efficiently treatable by endovascular treatment.

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“…Among the 12 cases of Dieulafoy's disease reported in the literature, five were described in smokers who had no associated comorbidity [22][23][24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Cryptogenic haemoptysis in smokers: angiography and results of embolisation in 35 patients

Menchini¹,

Rémy‐Jardin²,

Faivre³

et al. 2009

Eur Respir J

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“…Most of the cases were reported from Asia (38 patients) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], followed by Europe (23 patients) [3,4,[25][26][27][28][29][30][31][32][33][34][35][36][37], North America (seven patients) [38][39][40][41][42][43][44], Oceania (two patients) [5,45], and the country of origin was not reported for three patients (Fig. 2) [46].…”

Section: Continent and Country Of Originmentioning

confidence: 99%

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Qian

Wei

et al. 2019

BMC Pulm Med

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Background Bronchial Dieulafoy’s disease (BDD) is a rare disease that is known to be a cause of hemorrhage. The characteristics of this disease are still unknown. The present study describes the disorder based on a review of the world’s literature, emphasizing the diagnostic and therapeutic views. Methods A comprehensive research of BDD of the PubMed, Google Scholar, and Web of Science databases was performed. The following data were collected: patient characteristics; chest imaging, bronchoscopy, vascular angiography, and histopathologic examination findings; and treatment rendered. Results 73 cases of BDD have been reported from 1995 to 2019. Most of the cases occurred in Asia (52.1%), followed by Europe (31.5%). Chest imaging findings were non-specific. The main bronchoscopy finding was a nodular or protruding lesion (60.9%). 19 patients underwent bronchoscopic biopsies, 17 had bleeding, and 6 died. Four patients were successfully shown to have vascular malformations under mucosal protrusion by endobronchial ultrasound scan (EBUS). Vascular angiography mainly showed tortuous, dilated bronchial arteries. Vascular angiography mainly showed tortuous, dilated bronchial arteries. The arterial supply was mainly provided by bronchial arteries (48 cases) and the pulmonary circulation (4 cases). The lesions were mainly located in the right bronchus (53 cases). Selective bronchial artery embolization (BAE) was attempted in 38 patients and 20 patients underwent lobectomies. Emergency resection was performed in 15 patients, all of whom survived and had no recurrent hemoptysis. Conclusions Massive hemoptysis was the common manifestation of BDD. Vascular angiography and EBUS is a very useful examination before biopsy. BAE may be used in stable patients, or patients who cannot tolerate surgery, while surgical resection should be considered in patients who are unstable, patients with uncontrolled hemoptysis, or following BAE failure. Electronic supplementary material The online version of this article (10.1186/s12890-019-0863-1) contains supplementary material, which is available to authorized users.

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“…Primary racemose hemangioma of the bronchial artery has been considered to be a congenital abnormality, but its genesis and natural course remain uncertain. It is characterized by enlarged and convoluted bronchial arteries and shunts to the pulmonary artery or vein (2,3), so that these were occasionally described as cases of arterio-venous malformation of the bronchial artery (6,7). In the present case, dilated bronchial arteries along the bronchus and bronchial-pulmonary artery shunt were observed but no inflammatory infiltrate was detected pathologically in the resected specimen.…”

Section: Discussionmentioning

confidence: 50%

Primary Racemose Hemangioma of the Bronchial Artery.

et al. 2001

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A 44-year-old womanwas admitted to our hospital for repeated hemoptysis. Selective angiography of the bilateral bronchial arteries showed them to be enlarged and convoluted, and revealed shunts between the bronchial and pulmonary arteries. The patient was diagnosed as having racemose hemangiomaof the bronchial artery. Although embolization of the bronchial artery with gelatin sponges was performed, hemoptysis emerged again about one year later. Finally, segmentectomy of the right lower lung was performed and primary racemose hemangioma of the bronchial artery was histopathologically confirmed. (Internal Medicine 40: 650-653, 2001)

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Arteriovenous Malformation of the Bronchial Artery Showing Endobronchial Protrusion.

Cited by 20 publications

References 11 publications

Cryptogenic haemoptysis in smokers: angiography and results of embolisation in 35 patients

Cryptogenic haemoptysis in smokers: angiography and results of embolisation in 35 patients

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Primary Racemose Hemangioma of the Bronchial Artery.

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