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Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway

Behçet’s disease is an inflammatory vasculitis with the unique feature of pulmonary artery aneurysms. We describe a patient with Behçet’s disease and pulmonary artery aneurysms who presented with massive hemoptysis treated by coil embolization. Although there was immediate resolution of hemoptysis a...

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Autores principales: Law, Nicole, Quencer, Keith, Kaufman, Claire, Iravani, Aidin, Hardman, Rulon, Smith, Tyler
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989708/
https://www.ncbi.nlm.nih.gov/pubmed/35402753
http://dx.doi.org/10.1016/j.jvscit.2022.02.006
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author Law, Nicole
Quencer, Keith
Kaufman, Claire
Iravani, Aidin
Hardman, Rulon
Smith, Tyler
author_facet Law, Nicole
Quencer, Keith
Kaufman, Claire
Iravani, Aidin
Hardman, Rulon
Smith, Tyler
author_sort Law, Nicole
collection PubMed
description Behçet’s disease is an inflammatory vasculitis with the unique feature of pulmonary artery aneurysms. We describe a patient with Behçet’s disease and pulmonary artery aneurysms who presented with massive hemoptysis treated by coil embolization. Although there was immediate resolution of hemoptysis and improvement in hemodynamic status, 2 months later the patient reported a refractory cough and feeling of foreign body in her throat. Imaging demonstrated partial coil migration into the bronchus and trachea. Although endovascular intervention is the first-line treatment for massive hemoptysis, in patients with Behçet’s disease, active inflammation and chronic steroid use may increase the risk of coil erosion and migration.
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spelling pubmed-89897082022-04-09 Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway Law, Nicole Quencer, Keith Kaufman, Claire Iravani, Aidin Hardman, Rulon Smith, Tyler J Vasc Surg Cases Innov Tech Case report Behçet’s disease is an inflammatory vasculitis with the unique feature of pulmonary artery aneurysms. We describe a patient with Behçet’s disease and pulmonary artery aneurysms who presented with massive hemoptysis treated by coil embolization. Although there was immediate resolution of hemoptysis and improvement in hemodynamic status, 2 months later the patient reported a refractory cough and feeling of foreign body in her throat. Imaging demonstrated partial coil migration into the bronchus and trachea. Although endovascular intervention is the first-line treatment for massive hemoptysis, in patients with Behçet’s disease, active inflammation and chronic steroid use may increase the risk of coil erosion and migration. Elsevier 2022-03-09 /pmc/articles/PMC8989708/ /pubmed/35402753 http://dx.doi.org/10.1016/j.jvscit.2022.02.006 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Law, Nicole
Quencer, Keith
Kaufman, Claire
Iravani, Aidin
Hardman, Rulon
Smith, Tyler
Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title_full Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title_fullStr Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title_full_unstemmed Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title_short Embolization of pulmonary artery aneurysms in a patient with Behçet’s disease complicated by coil erosion into the airway
title_sort embolization of pulmonary artery aneurysms in a patient with behçet’s disease complicated by coil erosion into the airway
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989708/
https://www.ncbi.nlm.nih.gov/pubmed/35402753
http://dx.doi.org/10.1016/j.jvscit.2022.02.006
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