Surgical management of hemoptysis in pulmonary tuberculous patients

Dokhan, Ahmed L; Elaziz, Montaser Elsawy Abd; Yousif, Maha

doi:10.1016/j.jescts.2016.05.004

Cited by 2 publications

(2 citation statements)

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“…An outside report in some countries, partial resection surgery with VATS was performed. 21 Brick, et al reported that lobectomy was the most frequently used method (51.1%) for the management of hemoptysis caused by pulmonary tuberculosis. 22 In this case, tranexamic acid therapy was given as anti-bleeding, FOB with cold saline lavage and epinephrine, and bronchial artery embolization, which is the main cause of coughing up blood experienced by the patient.…”

Section: Discussionmentioning

confidence: 99%

Bronchial Arteries Embolization in Tuberculosis-Related Recurrent Hemoptysis with Complete Right Lung Atelectasis: A Case Report

Kusumastrini

Permatasari

2022

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Introduction: Hemoptysis is an emergency condition with high morbidity and mortality which requires immediate treatment. Active tuberculosis (TB) and post-tubercular sequelae can result in hemoptysis with the most common source is from bronchial artery.Case: We reported a 22-year-old man who presented with shortness of breath and recurrent hemoptysis. A chest X-Ray showed total atelectasis right lung due to obstructive airway. After aspiration clotting blood in bronchus and instillation adrenalin with fiber optic bronchoscopy, the atelectasis totally disappeared. Computed tomography angiography (CTA) showed prominent vascular lesions from the apical right pulmonary artery, right brachialis artery, and branch of the posterior intercostal artery. The patient was referred to the interventional unit of the radiology department in Dr. Soetomo General Hospital and underwent bronchial artery embolization. After this procedure, his symptoms resolved completely and he was discharged after a week with 2nd category anti-tuberculosis drugs (ATD). 6 months of follow-up, he no longer experienced hemoptysis.Conclusion: Recurrent hemoptysis needs optimal management, including diagnostic with chest radiography, CT and bronchoscopy. Treatment with bronchoscopy and bronchial artery embolization will reduce mortality and morbidity in patients with hemoptysis.

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Section: Discussionmentioning

confidence: 99%

Bronchial Arteries Embolization in Tuberculosis-Related Recurrent Hemoptysis with Complete Right Lung Atelectasis: A Case Report

Kusumastrini

Permatasari

2022

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“…We used a double-lumen tube to achieve one-lung ventilation for all our lung resections to improve exposure and protect the contralateral lung from soilage [14]. We placed 2 of our patients on anti-TB therapy in line with postoperative histological diagnosis because the effect of TB is usually beyond the resected lungs [5,15,16].…”

Section: Discussionmentioning

confidence: 99%

Current Indications and Outcome of Pulmonary Resections for Tuberculosis Complications in Ibadan, Nigeria

Salami¹,

Sanusi

Adegboye³

2017

Med Princ Pract

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this study period. The median age was 33.5 years (range: 3-50). The indication for lung resection was massive or persistent haemoptysis, and 2 patients also had aspergilloma. Six patients (60%) had lobectomy, 1 had a bilobectomy, and the remaining 3 had pneumonectomy. Complications included partial wound dehiscence in 2 patients, 1 of whom also had postoperative empyema thoracis. One patient died immediately due to haemorrhage. Follow-up ranged from 6 to 37 months. Conclusion: This study showed that the factors for a good outcome in patients presenting with massive or recurrent haemoptysis from TB complications were initial stabilization and multidisciplinary care. Hence, improved awareness of high-standard care to encourage inclusion of patients with TB complications in the surgical care protocol as part of national control programmes is recommended. KeywordsPulmonary tuberculosis · Pulmonary resections · Indications for surgery · Haemoptysis · Outcome Abstract Objectives: To review the current indications and outcome of pulmonary resections for tuberculosis (TB) at the Cardiothoracic Surgery Unit of the University College Hospital, Ibadan, Nigeria. Subjects and Methods: A retrospective case series review of patients who had lung resections from January 2014 to January 2017 was performed. Data obtained from medical records included demographics, presenting symptoms, indication for surgery, preoperative evaluation and preparation, operative procedure, postoperative complications, and follow-up. The presence of TB in the patients was confirmed by detecting pathological changes suggestive of TB and/or past history of pulmonary TB associated with its anatomical complications such as cavitation and bronchiectasis. Data were analysed using descriptive statistics. Results: Ten patients had pulmonary resections during Significance of the Study• In this study the factors for a good outcome in patients presenting with massive or recurrent haemoptysis from tuberculosis (TB) complications were initial stabilization and multidisciplinary care. Hence, improved awareness of high-standard care to encourage inclusion of patients with TB complications in the surgical care protocol as part of national control programmes is recommended.

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Surgical management of hemoptysis in pulmonary tuberculous patients

Cited by 2 publications

References 15 publications

Bronchial Arteries Embolization in Tuberculosis-Related Recurrent Hemoptysis with Complete Right Lung Atelectasis: A Case Report

Bronchial Arteries Embolization in Tuberculosis-Related Recurrent Hemoptysis with Complete Right Lung Atelectasis: A Case Report

Current Indications and Outcome of Pulmonary Resections for Tuberculosis Complications in Ibadan, Nigeria

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