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            ieulafoy's disease of the bronchus: a rare cause of massive hemoptysis

Smith, B.; Hart, David; Alam, Naveed

doi:10.1002/rcr2.47

Cited by 16 publications

(16 citation statements)

References 5 publications

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“…In the absence of an obvious cause, it seems reasonable to assume that the lesion is congenital. Smith et al speculated that the disease arises from a failure of a caliber-persistent artery running within the submucosa to differentiate into capillaries [5]. When the right side is involved, Stoopen's theory of avaried embryologic development of the right bronchial artery leading to a higher risk for right anomalous vessels points towards a congenital etiology [2].…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…The etiology of this disease is still unknown. Current theories regarding the etiology of BDD include congenital vascular malformations or chronic bronchial injury secondary to previous pulmonary infections [3]; however, age and tobacco use have an influence on BDD [4,5]. Hemoptysis is the most common presentation [6].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Continent and Country Of Originmentioning

confidence: 99%

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

Qian

Wei

et al. 2019

BMC Pulm Med

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“…It will usually make it possible to find both the source and the cause of the bleeding. 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.…”

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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“…[ 2 ] Dieulafoy disease of the bronchus is considered a congenital anomaly and it is speculated that the disease arises from a failure of caliber-persistent artery running within the submucosa to differentiate into capillaries. [ 3 ] The dilated tortuous arteries in the submucosa originate from the bronchial artery and pulmonary artery and are vulnerable to bleeding.…”

Section: Introductionmentioning

confidence: 99%

Dieulafoy disease of the trachea with recurrent episodes of massive hemoptysis

Yang¹,

Rong²,

Gu³

et al. 2017

Medicine

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Rationale:Dieulafoy disease is characterized by the presence of dilated, tortuous arteries that project into the submucosa of the gastrointestinal tract and less frequently the bronchus.Patient concerns:Dieulafoy disease of the trachea has not been previously described. A 60-year-old woman with recurrent episodes of massive hemoptysis.Diagnoses:Dieulafoy disease of the trachea.Interventions:Selective arterial embolization was undertaken.Outcomes:The intervention was successful and no fresh episode of acute hemoptysis was observed.Lessons:Apart from the bronchus, vascular anomaly may also be present in the trachea in Dieulafoy disease.

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D ieulafoy's disease of the bronchus: a rare cause of massive hemoptysis

Abstract: We present the case of a 30-year-old non-smoker who presented with unexplained, massive hemoptysis and was diagnosed with a rare vascular malformation.

Cited by 16 publications

References 5 publications

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

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

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

Dieulafoy disease of the trachea with recurrent episodes of massive hemoptysis

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