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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
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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. |
format | Online Article Text |
id | pubmed-4559760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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