Massive hemoptysis secondary to Behçet's aneurysm controlled with endobronchial balloon lung isolation: Case report and review of literature

Cavitary lung opacity of unusual cause during Behçet disease

“… 10 Surgical lobectomy remains an option in case of massive hemoptysis due to PAA and requiring a definitive solution, especially when the aneurysm is giant. 2 , 11 We add that preoperative steroid coverage has been suggested to reduce the risk of complications. 12 In our case, the medical treatment alone with steroids and immunosuppressive drugs (azathioprine then cyclophosphamide) failed in the control of the PAA.…”

“…Despite aggressive treatment, pulmonary artery involvement is associated with high mortality reaching 25% of the cases. 11 The major factors associated with a poor prognosis in PAA are large aneurysms (diameter >3 cm) and high pulmonary artery pressures. Aneurysms of the pulmonary artery can be complicated by often fatal rupture, or by fistulas of the bronchopulmonary arteries.…”

“…When the patient has or is at high risk of major bleeding, embolization should be preferred to open surgery (Level of evidence: III; strength of recommendation: C) 10 . Surgical lobectomy remains an option in case of massive hemoptysis due to PAA and requiring a definitive solution, especially when the aneurysm is giant 2,11 . We add that preoperative steroid coverage has been suggested to reduce the risk of complications 12 .…”

“…Despite aggressive treatment, pulmonary artery involvement is associated with high mortality reaching 25% of the cases 11 . The major factors associated with a poor prognosis in PAA are large aneurysms (diameter >3 cm) and high pulmonary artery pressures.…”