- A novel endobronchial approach to massive hemoptysis complicating silicone Y-stent placement for tracheobronchomalacia: A case report. [Journal Article]
- MMedicine (Baltimore) 2018; 97(8):e9980
- CONCLUSIONS: The combined use of ORC and a biocompatible surgical sealant provided long-term management for life-threatening hemoptysis, and potentially morbid procedures such as embolization or surgery were avoided by advanced endobronchial therapy.
- Two cases of Dieulafoy lesions of the bronchus with novel comorbid associations and endobronchial ablative management. [Journal Article]
- MMedicine (Baltimore) 2018; 97(8):e9754
- CONCLUSIONS: Bronchoscopic ablation of Dieulafoy lesions of the bronchus can provide durable relief from recurrent symptoms. Clinical and anatomical features should be considered carefully before intervention, which should only be attempted by experienced operators with appropriate ancillary support available.
- A young puerperal woman presenting to emergency department with severe dyspnea. [Journal Article]
- TJTurk J Emerg Med 2017; 17(4):154-156
- Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy presenting with heart failure (HF) secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months fo...
Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy presenting with heart failure (HF) secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months following delivery, where no other cause of HF is found. The symptoms and signs of this rare disorder mimic those of the physiological changes of pregnancy or other cardiovascular diseases. Consequently, its diagnosis is frequently delayed, which worsens an already poor prognosis. Here, we report a young adult who was diagnosed with PPCM, early, with the help of focused cardiac ultrasonography, performed after presenting to the emergency department with nonspecific respiratory complaints, including dyspnea and hemoptysis, which suggested at first pulmonary embolism.
- Neonatal diagnosis of isolated absence of the right pulmonary artery: a case report and review of the literature. [Journal Article]
- IJItal J Pediatr 2018 Feb 20; 44(1):27
- CONCLUSIONS: Isolated UAPA is a very rare malformation with a diverse clinical presentation. To the best of our knowledge, this is the second case of neonatal presentation of UAPA reported in literature to date. We believe that our case report supports the opinion that a prompt cardiological evaluation is needed whenever a newborn shows signs and/or symptoms of cardiorespiratory concern. Any missed neonatal diagnosis of UAPA may contribute to the later age at presentation, with resultant higher risk of morbidity and mortality and greater therapeutical difficulties.
- Risk of cancer in patients with epistaxis and haemoptysis. [Journal Article]
- BJBr J Cancer 2018 Feb 20
- CONCLUSIONS: Epistaxis and particular haemoptysis may be markers of cancer at several sites.British Journal of Cancer advance online publication, 20 February 2018; doi:10.1038/bjc.2017.494 www.bjcancer.com.
- [Alveolar hemorrhage and cocaine use]. [Review]
- RMRev Mal Respir 2018 Feb 16
- In France, cocaine is the second most commonly illicit drug used after cannabis. Cocaine, mainly smoked in the form of crack, can be responsible for a wide range of respiratory disorders. The aim of ...
In France, cocaine is the second most commonly illicit drug used after cannabis. Cocaine, mainly smoked in the form of crack, can be responsible for a wide range of respiratory disorders. The aim of this systematic literature review was to clarify what is known about the link between cocaine use and alveolar hemorrhage. We performed a Medline search covering the period 1980-2016 and collected data from 84 articles. The number of acute forms described in the literature is small but postmortem studies show that hidden forms are frequent. The diagnosis is based on the association of hemoptysis, anemia and diffuse alveolar opacity. Bronchoalveolar lavage shows hemosiderin-laden macrophages. Of the 13 cases identified, 12 patients had hemoptysis, anemia and diffuse alveolar infiltration on pulmonary or chest CT. In 9 cases, the presence of hemosiderin-laden macrophages was identified in bronchoalveolar lavage or pulmonary biopsy. Except for 2 deaths, the outcome was favorable when cocaine use was stopped. Systematic interventions to help people stopping using this psychoactive substance will protect lung health.
- Mild-to-moderate haemoptysis: a diagnostic and clinical challenge. [Journal Article]
- MMMinerva Med 2018 Feb 19
- Mild-to-moderate haemoptysis is defined as the expectoration of blood or blood-streaked sputum originating from the lower respiratory tract, in volumes that do not immediately threaten the patient's ...
Mild-to-moderate haemoptysis is defined as the expectoration of blood or blood-streaked sputum originating from the lower respiratory tract, in volumes that do not immediately threaten the patient's life. Nevertheless, it is a very common respiratory symptom and the list of underlying respiratory or non-respiratory diseases is vast, ranging from the most worrying to more easily manageable aetiologies. In this narrative review, we have analysed the most recent recommendations inferred from the literature, in terms of diagnostic as well as therapeutic approach.
- Endovascular repair with extracorporeal membrane oxygenation as a rescue strategy for aortobronchial fistula: a case report. [Journal Article]
- JCJA Clin Rep 2017; 3(1):34
- Aortobronchial fistula (ABF) is a rare and potentially lethal complication of thoracic aortic replacement surgery. Currently, thoracic endovascular aortic repair (TEVAR) has emerged as a less invasiv...
Aortobronchial fistula (ABF) is a rare and potentially lethal complication of thoracic aortic replacement surgery. Currently, thoracic endovascular aortic repair (TEVAR) has emerged as a less invasive alternative to open surgery for ABF to facilitate prompt hemostasis. However, there are no published reports of TEVAR for ABF, particularly for presentation with life-threatening respiratory failure from massive hemoptysis. A 48-year-old male patient, who had recently undergone aortic root and arch replacement due to aortic dissection, was transferred to the emergency department with massive hemoptysis and severe dyspnea. A single-lumen endotracheal tube was immediately placed in the right main bronchus to protect the nonbleeding lung from spillage of blood. Chest computed tomography (CT) showed leakage of contrast material from the distal anastomosis of the aortic graft and consolidated lung tissue adjacent to the leakage. He was diagnosed with an ABF following aortic arch replacement, and an emergency TEVAR was performed. After adequate hemostasis, severe hypercapnia remained uncorrected despite the maximum ventilatory support. Thus, venovenous extracorporeal membrane oxygenation (VV ECMO) was immediately initiated, and severe respiratory acidosis improved dramatically. Furthermore, VV ECMO facilitated prompt bronchoscopic washout of the remaining blood clot without any danger of respiratory collapse and was weaned off successfully after 5 days as ventilation improved. This case demonstrates that emergency TEVAR in combination with VV ECMO can be a rescue strategy for massive hemoptysis from an ABF.
- Acute massive pulmonary thromboembolism treated by selective catheter-directed thrombolysis. [Journal Article]
- AVAnn Vasc Surg 2018 Feb 15
- CONCLUSIONS: Selective catheter-directed thrombolysis may be considered a safe and efficacious treatment for AMPTE.
New Search Next
- Fatal air embolism following local anaesthetisation: does needle size matter? [Journal Article]
- BCBMJ Case Rep 2018 Feb 05; 2018
- A 76--year--old male cigarette smoker presented with a 2-week history of cough and haemoptysis. Chest CT on admission revealed multiple new lung nodules concerning for malignancy. CT--guided biopsy o...
A 76--year--old male cigarette smoker presented with a 2-week history of cough and haemoptysis. Chest CT on admission revealed multiple new lung nodules concerning for malignancy. CT--guided biopsy of the nodule in left lower lobe was attempted in prone oblique position for tissue diagnosis. Local anaesthetic (lidocaine) was administered using a 25--gauge (1.5-inch) needle to anaesthetise the skin and subcutaneous tissue. This was followed by insertion of a 25-gauge (3.5-inch) Whitacre needle to anaesthetise deeper tissues and parietal pleura. Due to patient's coughing and proximity of the nodule to the diaphragm, the circumstances were judged to be too risky for a needle biopsy. Therefore, it was decided to biopsy another nodule in the left lung that was visible on the same CT section. During this portion of the procedure, the patient became hypoxic and developed pulseless electrical activity arrest. Cardiopulmonary resuscitation was unsuccessful and the efforts ceased after 45 min. Subsequent review of CT scan revealed air in the left ventricle.