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Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)

A broncho-pulmonary artery fistula is one of the most fatal complications of lung cancer surgery. This article discusses the case of a patient who died of massive hemoptysis after a left upper lobectomy. There were no previous signs of broncho-pleural fistula except for an obstinate dry cough and sl...

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Detalles Bibliográficos
Autores principales: Abe, Jiro, Hasumi, Toru, Takahashi, Satomi, Tanaka, Ryota, Sato, Taku, Okazaki, Toshimasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559760/
https://www.ncbi.nlm.nih.gov/pubmed/26341785
http://dx.doi.org/10.1093/jscr/rjv110
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author Abe, Jiro
Hasumi, Toru
Takahashi, Satomi
Tanaka, Ryota
Sato, Taku
Okazaki, Toshimasa
author_facet Abe, Jiro
Hasumi, Toru
Takahashi, Satomi
Tanaka, Ryota
Sato, Taku
Okazaki, Toshimasa
author_sort Abe, Jiro
collection PubMed
description A broncho-pulmonary artery fistula is one of the most fatal complications of lung cancer surgery. This article discusses the case of a patient who died of massive hemoptysis after a left upper lobectomy. There were no previous signs of broncho-pleural fistula except for an obstinate dry cough and slightly elevated serum C-reactive protein levels after surgery. An autopsy revealed that a fistula had formed between the bronchial stump and the pulmonary artery, leading to prolonged inflammation and ultimately a broncho-pulmonary artery fistula. The left lobectomy and right upper sleeve resection are the procedures most affected by this complication, according to the reviewed literature. The median period from the surgery to the events is 4 weeks. Abrupt onset of recurrent hemoptysis in that period is the most critical sign that should not be ignored.
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spelling pubmed-45597602015-09-08 Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†) Abe, Jiro Hasumi, Toru Takahashi, Satomi Tanaka, Ryota Sato, Taku Okazaki, Toshimasa J Surg Case Rep Case Reports A broncho-pulmonary artery fistula is one of the most fatal complications of lung cancer surgery. This article discusses the case of a patient who died of massive hemoptysis after a left upper lobectomy. There were no previous signs of broncho-pleural fistula except for an obstinate dry cough and slightly elevated serum C-reactive protein levels after surgery. An autopsy revealed that a fistula had formed between the bronchial stump and the pulmonary artery, leading to prolonged inflammation and ultimately a broncho-pulmonary artery fistula. The left lobectomy and right upper sleeve resection are the procedures most affected by this complication, according to the reviewed literature. The median period from the surgery to the events is 4 weeks. Abrupt onset of recurrent hemoptysis in that period is the most critical sign that should not be ignored. Oxford University Press 2015-09-04 /pmc/articles/PMC4559760/ /pubmed/26341785 http://dx.doi.org/10.1093/jscr/rjv110 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Abe, Jiro
Hasumi, Toru
Takahashi, Satomi
Tanaka, Ryota
Sato, Taku
Okazaki, Toshimasa
Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title_full Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title_fullStr Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title_full_unstemmed Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title_short Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
title_sort fatal broncho-pulmonary artery fistula after lobectomy for lung cancer(†)
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559760/
https://www.ncbi.nlm.nih.gov/pubmed/26341785
http://dx.doi.org/10.1093/jscr/rjv110
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