Management of an Intrabronchial Rupture of Right Main Pulmonary Artery

Pinet, C.; Palka, Wojciech; Métras, D; Thomas, Philippe; Meric, B; Dumon, J. F.

doi:10.1378/chest.121.3.988

Cited by 11 publications

(3 citation statements)

References 5 publications

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“…Invasive tracheobronchitis is particularly dangerous in the early postoperative period when it may affect the bronchial suture, compromising its healing with—sometimes—disastrous effects such as fistula formation between bronchus and adjacent pulmonary artery [135]. Invasive pulmonary and disseminated forms are seen mostly later on [136, 137].…”

Section: Postoperative Carementioning

confidence: 99%

Practical Guidelines: Lung Transplantation in Patients with Cystic Fibrosis

Hirche¹,

Knoop

Hebestreit

et al. 2014

Pulmonary Medicine

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There are no European recommendations on issues specifically related to lung transplantation (LTX) in cystic fibrosis (CF). The main goal of this paper is to provide CF care team members with clinically relevant CF-specific information on all aspects of LTX, highlighting areas of consensus and controversy throughout Europe. Bilateral lung transplantation has been shown to be an important therapeutic option for end-stage CF pulmonary disease. Transplant function and patient survival after transplantation are better than in most other indications for this procedure. Attention though has to be paid to pretransplant morbidity, time for referral, evaluation, indication, and contraindication in children and in adults. This review makes extensive use of specific evidence in the field of lung transplantation in CF patients and addresses all issues of practical importance. The requirements of pre-, peri-, and postoperative management are discussed in detail including bridging to transplant and postoperative complications, immune suppression, chronic allograft dysfunction, infection, and malignancies being the most important. Among the contributors to this guiding information are 19 members of the ECORN-CF project and other experts. The document is endorsed by the European Cystic Fibrosis Society and sponsored by the Christiane Herzog Foundation.

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Section: Postoperative Carementioning

confidence: 99%

Practical Guidelines: Lung Transplantation in Patients with Cystic Fibrosis

Hirche¹,

Knoop

Hebestreit

et al. 2014

Pulmonary Medicine

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“…CT Angiography has been described as useful in post lobectomy patients as possibly showing a residual space containing air-fluid level as well as bubbles around the bronchial stump which is highly suspicious for BPAF [8] . Bronchoscopy may also provide valuable diagnostic information if it shows a dark venous blood within the endobronchialtree [9] .…”

Section: Discussionmentioning

confidence: 99%

Massive hemoptysis due to bronchopulmonary arterial fistula successfuly treated with amplatzer plug occlusion

Chehab¹,

Mandava²,

Smillie³

et al. 2014

JBGC

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We present the case of a 59-year-old male with massive hemoptysis secondary to a bronchopulmonary artery fistula formed as the result of a perihilar lung cancer. The hemoptysis was successfully treated by Amplatzer Plug (St. Jude Medical) embolization of the supplying pulmonary artery branch. At the same time, bronchoscopy was performed to tamponade the patients bleeding and avoid exsanguination. Biopsy of the mass demonstrated poorly differentiated non small cell carcinoma. Post procedure day 13 the patient underwent staging with PET CT which showed localized disease. His hemoptysis resolved.

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“…These fistulas can form a communication of the tracheobronchial tree to the aorta (20), the pulmonary artery (21)(22)(23)(24)(25), or even to the pericardium (26,27). These fistulae are often fatal and present with massive hemoptysis.…”

Section: Brief Communicationmentioning

confidence: 99%