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Case Reports
. 2020 Aug 24;2020(8):rjaa209.
doi: 10.1093/jscr/rjaa209. eCollection 2020 Aug.

Massive hemoptysis resulting from a fistula between the bronchus intermedius and pulmonary artery: a novel clinical presentation

Gabrielle Yee  1 , John D Hall  1 , William R Hampton  2 , Sai Yendamuri  1 , Bo Xu  3 , Elizabeth U Dexter  1
Affiliations
Case Reports

Massive hemoptysis resulting from a fistula between the bronchus intermedius and pulmonary artery: a novel clinical presentation

Gabrielle Yee et al. J Surg Case Rep. .

Abstract

This is a case of a woman with massive hemoptysis, associated with a pulmonary artery pseudoaneurysm, and a fistula between the right pulmonary artery and bronchus intermedius. Bronchoscopic evaluation revealed an endobronchial mass in the right bronchus intermedius, suspicious for a tumor. Upon biopsy of the mass, massive bleeding occurred. The right lung was surgically resected. No specific etiology for the fistula was identified on pathologic examination. To our knowledge, this is the first report of a pulmonary artery-bronchial fistula presenting without typically known predisposing factors.

Keywords: bronchovascular fistula; hemoptysis; pulmonary artery pseudoaneurysm.

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Figures

Figure 1
Figure 1
(1a) Axial CT chest slice shows small irregularity of right pulmonary artery wall (white arrow) with clot-filled bronchus. (1b) Axial CT chest slice shows increased irregularity of right pulmonary artery wall (white arrow) with open lumen bronchus. Possible opposite side pulmonary artery wall irregularity (yellow arrow).
Figure 2
Figure 2
Pulmonary arteriogram with no visualization of right pulmonary artery wall irregularity.
Figure 3
Figure 3
Bronchoscopic view of distal bronchus intermedius with surrounding inflammation and structure deceptive for endobronchial mass.
See this image and copyright information in PMC

References

    1. Bylicki O, Vandemoortele T, Orsini B, Laroumagne S, D’Journo XB, Astoul P, et al. . Incidence and management of anastomotic complications after bronchial resection: a retrospective study. Ann Thorac Surg. 2014;98:1961–7. - PubMed
    1. Tedder M, Anstadt MP, Tedder SD, Lowe JE. Current morbidity, mortality, and survival after bronchoplastic procedures for malignancy. Ann Thorac Surg. 1992;54:387–91. - PubMed
    1. Knight J, Elwing JM, Milstone A. Bronchovascular fistula formation: a rare airway complication after lung transplantation. J Heart Lung Transplant. 2008;27:1179–85. - PubMed
    1. Choudhary C, Bandyopadhyay D, Salman R, Gildea T, Mehta A. Broncho-vascular fistulas from self-expanding metallic stents: a retrospective case review. Ann Thorac Med. 2013;8:116–20. - PMC - PubMed
    1. Tobert DG, Prakash UBS, Johnson CM. Massive hemoptysis caused by a fistula between bronchial artery and bronchus. J Bronchology. 1996;3:203–6.

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