Angiography and therapeutic blockade in the control of hemoptysis. The importance of nonbronchial systemic arteries.
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Aneurysms of the pulmonary arteries are rare. The author reports a case of a patient with bilateral pulmonary artery aneurysms, in whom the nature of the lesions was not known. Pulmonary artery aneurysms should be included in the differential diagnosis of lung masses.
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A 39-year-old-woman was treated successfully by a combination of endobronchial and bronchial artery embolization for massive hemorrhage originating from the posterior segment of the right upper lobe. Endobronchial embolization was performed using a silicone spigot placed via flexible bronchoscopy in order to prevent alveolar inundation preceding and during the time of bronchial artery embolization. Massive hemorrhage is a rare and severe condition associated with a high mortality that requires rapid intervention and management. We describe a case that emphasizes the efficacy of a multidisciplinary approach including the use of a new bronchoscopic technique.
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