Recurrent Embolotherapy in Dieulafoy′s Disease of the Bronchus

Bhatia, Praveen; Hendy, Moataz S.; Li-Kam-Wa, E.; Bowyer, P. K.

doi:10.1155/2003/729714

Cited by 36 publications

(40 citation statements)

References 4 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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“…3 The characteristics of the lesion are nonspecific, but it can be suspected when a small (usually less than 1 cm) sessile non-pulsatile nodular lesion with a white cap and apparently normal mucosa is seen. 2 It has been suggested that, after the diagnosis has been made, angiography and embolization can be the preferred treatment 5,6 and that surgical resection would only be needed in a few cases. 4 However, the failure rate of embolization is not negligible, whereas surgery alone or after failure of embolization has had a success rate of nearly 100% in all reports.…”

Section: 3mentioning

confidence: 99%

Dieulafoy’s disease of the bronchial tree: a case report

Wadji

Farahzadi

2017

Sao Paulo Med. J.

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CONTEXT: Dieulafoy’s disease of the bronchial tree is a very rare condition. Few cases have been reported in the literature. It can be asymptomatic or manifest with massive hemoptysis. This disease should be considered among heavy smokers when recurrent massive hemoptysis is present amid otherwise normal findings. The treatment can be arterial embolization or surgical intervention. CASE REPORT: A 16-year-old girl was admitted to the emergency department due to hemoptysis with an unknown lesion in the bronchi. She had suffered massive hemoptysis and respiratory failure one week before admission. Fiberoptic bronchoscopy revealed a lesion in the bronchus of the right lower lobe, which was suspected to be a Dieulafoy lesion. Segmentectomy of the right lower lobe and excision of the lesion was carried out. The outcome for this patient was excellent. CONCLUSION: Dieulafoy’s disease is a rare vascular anomaly and it is extremely rare in the bronchial tree. In bronchial Dieulafoy’s disease, selective embolization has been suggested as a method for cessation of bleeding. Nevertheless, standard anatomical lung resection is a safe and curative alternative.

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“…In addition there is an almost simultaneous filling of the pulmonary artery branches of the affected area. 10 Histopathologic examination of the DL of the lung shows a dilated tortuous bronchial artery closely hugging the bronchus with infiltration of the bronchial wall and reaching immediately below the mucosal surface.…”

Section: Discussionmentioning

confidence: 99%

“…6 On the other hand, Bhatia et al reported the control of hemoptysis from a bronchial DL with repeated embolization over many years. 10 Undoubtedly, the nature and size of the vessels as well as the left-to-right shunt into the pulmonary arterial circulation make embolotherapy difficult in DL. However, in an otherwise stable patient, if a bronchial DL is suspected at the time of bronchial angiography, bronchial artery embolization should be performed.…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy??s Lesion of the Bronchus

Rennert¹,

Gharagozloo²,

Schwartz³

et al. 2007

Pathology Case Reviews

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Dieulafoy's lesion is a vascular anomaly or malformation that may present with a radiologic density but more commonly with hemoptysis. The thick-walled vascular malformation is located within the bronchial wall and is susceptible to erosion of the mucosa or secondarily to inadvertent biopsy with significant bleeding. These malformations and subsequent hemoptyses present in adults, most commonly in the 5th and 6th decades, usually in the right lung, more commonly in men than in women, and with little to no association with previous infection and smoking. Though rare cases result in fatal hemorrhage, many cases may need lobe resection to control the bleeding.

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Recurrent Embolotherapy in Dieulafoy′s Disease of the Bronchus

Cited by 36 publications

References 4 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

Dieulafoy’s disease of the bronchial tree: a case report

Dieulafoy??s Lesion of the Bronchus

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