Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration

A 74‐year‐old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)‐guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left‐sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs)...

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Autores principales: Grier, William, Kalchiem‐Dekel, Or, Jeudy, Jean, Holden, Van, Sachdeva, Ashutosh, Pickering, Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837855/
https://www.ncbi.nlm.nih.gov/pubmed/31719985
http://dx.doi.org/10.1002/rcr2.497
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author Grier, William
Kalchiem‐Dekel, Or
Jeudy, Jean
Holden, Van
Sachdeva, Ashutosh
Pickering, Edward
author_facet Grier, William
Kalchiem‐Dekel, Or
Jeudy, Jean
Holden, Van
Sachdeva, Ashutosh
Pickering, Edward
author_sort Grier, William
collection PubMed
description A 74‐year‐old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)‐guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left‐sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs) with contrast blush into the left lung hilum. Tube thoracostomy and pleural fluid analysis confirmed the diagnosis of haemothorax. The mechanism of injury was determined to be BA laceration during EBUS‐TBNA and drainage led to rapid improvement in the patient's symptoms. This is the first reported case of haemothorax due to BA injury during EBUS‐TBNA.
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spelling pubmed-68378552019-11-12 Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration Grier, William Kalchiem‐Dekel, Or Jeudy, Jean Holden, Van Sachdeva, Ashutosh Pickering, Edward Respirol Case Rep Case Reports A 74‐year‐old woman presented with chest pain and dyspnoea following endobronchial ultrasound (EBUS)‐guided transbronchial needle aspiration (TBNA) for presumed malignancy. Computed tomography angiography revealed a left‐sided pleural effusion with hypertrophied and tortuous bronchial arteries (BAs) with contrast blush into the left lung hilum. Tube thoracostomy and pleural fluid analysis confirmed the diagnosis of haemothorax. The mechanism of injury was determined to be BA laceration during EBUS‐TBNA and drainage led to rapid improvement in the patient's symptoms. This is the first reported case of haemothorax due to BA injury during EBUS‐TBNA. John Wiley & Sons, Ltd 2019-11-07 /pmc/articles/PMC6837855/ /pubmed/31719985 http://dx.doi.org/10.1002/rcr2.497 Text en © 2019 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Grier, William
Kalchiem‐Dekel, Or
Jeudy, Jean
Holden, Van
Sachdeva, Ashutosh
Pickering, Edward
Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title_full Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title_fullStr Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title_full_unstemmed Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title_short Bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
title_sort bronchial artery laceration and haemothorax complicating transbronchial needle aspiration
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837855/
https://www.ncbi.nlm.nih.gov/pubmed/31719985
http://dx.doi.org/10.1002/rcr2.497
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