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At least 343 records · Page 19Linked to original sources

Erosion of implantable cardioverter defibrillator patch electrode into airways: an unusual cause of recurrent hemoptysis.

A 74-year-old man presented with a 9-month history of recurrent hemoptysis. He had implantable cardioverter defibrillator (ICD) patch electrodes placed 4 years before. A chest x-ray film showed crinkling of his posteriorly placed ICD patch which also appeared to have separated from his ventricle on a CT scan of the chest. Bronchoscopy localized the ICD patch electrode to the lower lobe of the left lung. He underwent a lobectomy and was treated with antibiotics at home. In patients with known ICD implantation, patch erosion into the airways should be considered in the differential diagnosis of recurrent hemoptysis.

Aged↗

Hemoptysis due to MDI therapy in a patient with permanent tracheostomy: treatment with mask AeroChamber.

Persistent minor hemoptysis resulted from extensive granulation tissue on the main carina and adjacent bronchi due to frequent spraying of metered-dose inhaler (MDI)-generated aerosol medications directly into a permanent tracheostomy. Salbutamol, containing oleic acid, was considered the most likely cause. After an AeroChamber equipped with an infant mask was interposed between the MDI and the tracheal stoma, hemoptysis and the pathologic changes gradually resolved.

Aged↗

Recurrent hemoptysis following a systemic-to-pulmonary anastomosis in a child with a complex congenital cardiomyopathy.

A 14-year-old boy with a history of congenital cardiopathy is presented. At age 4, a left systemic-to-pulmonary fistula was performed, using a tubular prosthesis to anastomose the left subclavian artery to the left pulmonary artery. Following this procedure, he developed recurrent episodes of hemoptysis, cough, and left upper lobe consolidation. Treatment resulted in clinical but no radiologic resolution. At age 6, a new right systemic-to-pulmonary anastomosis was needed, as the left one was no longer functioning. After placement of the second shunt, the hemoptysis disappeared. At age 14, flexible bronchoscopy revealed a foreign body granuloma at the left secondary carina. Rigid bronchoscopy and laser photoresection showed it to be the left vascular prosthesis, placed 10 years before. Surgery failed to remove it.

Adolescent↗

Varicosities of the valleculae: an unusual cause of hemoptysis?

Hemoptysis is a common respiratory symptom causing a great deal of anxiety. The cause is often apparent following a clinical history, upper-airway examination, bronchoscopy, and CT scanning of the thorax. We present a case of massive hemoptysis, the etiology of which was not readily apparent despite this conventional approach. Vallecular hemorrhage has been previously reported but is usually minor unless associated with surgical trauma, and can be readily missed if not aware of the possibility. We speculate about the etiology and mechanism for recurrent hemorrhage.

Aged↗

Tracheal lobular capillary hemangioma: a rare cause of recurrent hemoptysis.

Lobular capillary hemangioma (LCH) is a polypoid form of capillary hemangioma occurring on the skin and mucosal surfaces. While LCH of the oral and nasal cavity is a well-known entity, tracheal localization is extremely rare. We present the case of a 72-year-old woman with recurrent hemoptysis due to a small tumor of the proximal trachea. By endoscopic removal of the tumor by flexible bronchoscopy, the diagnosis of LCH was made, and during the following year there was no recurrent hemoptysis. To our knowledge, this is the first case of histologically proven LCH of the trachea.

Aged↗

Pulmonary mucormycosis with massive fatal hemoptysis.

Abrupt, massive, and fatal hemoptysis occurred in two patients with pulmonary mucormycosis. One patient had uucontrolled diabetes mellitus and the other acute leukemia in remission. Pulmonary artery erosion by mucormycotic hyphae caused the hemorrhage cases. Mucormycosis is an unusual cause of massive hemoptysis.

Adult↗

Flexible fiberoptic bronchoscopy and endobronchial tamponade in the management of massive hemoptysis.

Flexible fiberoptic bronchoscopic examination with systematic bronchial lavage was performed in ten patients with massive hemoptysis. Localization of the bleeding to the distal segments of the bronchial tree and endobronchial balloon tamponade were achieved in all cases. The technique is rapid, simple, and effective in controlling life-threatening hemoptysis in patients who are unsuitable for resection due to inadequate pulmonary reserve or other causes.

Adult↗

Pulmonary cavitation and massive hemoptysis caused by an unsuspected intraparenchymal foreign body.

A patient presented with massive hemoptysis, and a chest roentgenogram revealed a right lower lobe cavity which contained a movable mass of soft tissue density. He had sustained a gunshot wound to the chest seven years earlier. Thoracotomy was performed for uncontrollable hemoptysis, and parenchymal cavitation was found which contained a plastic foreign body. We retrieved a film following the original injury which revealed a mass density that proved to be a plastic wadding capsule from a shotgun shell. This type of complication from intraparenchymal foreign bodies is discussed and the unusual roentgenographic presentation of this patient is considered.

Adult↗

Invasive aspergillosis with massive fatal hemoptysis in patients with neoplastic disease.

Two patients had fatal episodes of massive hemoptysis secondary to invasive aspergillosis, complicating in one with acute leukemia and in the other with lung carcinoma. Review of the literature reveals that these cases are among the very few in which invasive aspergillosis has been documented as the etiology of massive hemoptysis in cancer patients. Both patients had been previously treated with corticosteroids and/or other immunosuppressive agents. In one of the two patients, the diagnosis was made ante mortem and antifungal therapy instituted, but dissemination progressed despite treatment.

Adenocarcinoma↗

Catamenial hemoptysis. New methods of diagnosis and therapy.

Bronchopulmonary endometriosis is a rare cause of hemoptysis. We describe a woman with catamenial hemoptysis which was localized with chest CAT scanning and treated successfully with danazol. The proposed pathogenesis and manifestations of thoracic endometriosis are reviewed, and the use of new diagnostic and therapeutic modalities in its management are discussed.

Adult↗

Management of major or massive hemoptysis in active pulmonary tuberculosis by bronchial arterial embolization.

Management of massive hemoptysis in patients with active pulmonary tuberculosis is complicated. Transcatheter hemostatic embolization of bleeding vessels with absorbable material has been reported to be useful in controlling this problem. Twelve patients with active pulmonary tuberculosis who had major or massive hemoptysis were managed at Cook County Hospital, Chicago, from 1982 to 1986. Various methods of treatment have been evaluated. The technique of angiographic embolization and the criteria for selection of patients for its use constitute the basis of this report.

Adult↗

Malignant fibrous histiocytoma of the heart presenting as hemoptysis. Association with pseudothrombocytopenia.

A 24-year-old patient presented with hemoptysis. Pulmonary evaluation was unrevealing. After being lost to follow-up, he again presented with worsening symptoms and physical findings of severe pulmonary hypertension. A large left atrial mass was found on echocardiogram. This was subsequently found to be a malignant fibrous histiocytoma. He also had pseudothrombocytopenia due to platelet cold agglutinins. Left atrial masses must be considered in unexplained hemoptysis.

Adult↗

Utility of angiograms in patients with catamenial hemoptysis.

Pulmonary endometriosis is the likely cause in patients with hemoptysis during menses. While we describe two cases of catamenial hemoptysis, which were localized with chest CT scanning, angiograms revealed normal appearance. We suggest that angiograms may have little value in the evaluation of patients with pulmonary endometriosis.

Adult↗

Pneumocystis carinii pneumonia. Rare cause of hemoptysis.

Pneumocystis carinii pneumonia is a frequent manifestation of the acquired immunodeficiency syndrome (AIDS). It commonly presents with nonproductive cough, fever, and dyspnea. We report this case of P carinii pneumonia presenting with hemoptysis, since to the best of our knowledge, hemoptysis has not been reported to be a presenting manifestation of P carinii pneumonia. Autopsy revealed multiple lung cavities.

Acquired Immunodeficiency Syndrome↗