Cases reported "Hemoptysis"

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21/58. Emergent pneumonectomy for hemoptysis in a patient with previous thoracoplasty.

    hemoptysis is a life-threatening episode of respiratory disease. By means of every possible treatment, hemostasis should be obtained to secure the airway as well as to prevent blood loss. We describe an emergent pneumonectomy for massive hemoptysis from destroyed lung in a patient with previous thoracoplasty. After prolonged ventilation support postoperatively, the patient with compromised lung function recovered well.
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ranking = 1
keywords = airway
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22/58. Pathogenesis, evaluation, and therapy for massive hemoptysis.

    Massive hemoptysis is a rare, but life-threatening event. death from massive hemoptysis is usually due to aspiration of blood. Thus, the initial evaluation should occur simultaneously with efforts to control the patient's airway and respiratory status. Therapeutic interventions can be directed with an understanding of the underlying pathophysiology and estimated rate of blood loss. Surgery remains the definitive therapy. However, more conservative measures can usually control acute bleeding and provide therapeutic alternatives for patients who are not surgical candidates.
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keywords = airway
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23/58. A patient with insidious onset of exertional dyspnoea.

    The case history is presented of a 42 year old woman with pulmonary artery occlusion due to tuberculous vasculitis that masqueraded as chronic pulmonary artery embolism and led to severe life threatening haemoptysis necessitating emergency pneumonectomy. It is concluded that obliterative tuberculous endarteritis of the pulmonary arteries should be considered in the differential diagnosis of any acquired obstruction of pulmonary arteries.
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ranking = 0.26231442643474
keywords = obstruction
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24/58. Unexpected blood clot-induced acute airway obstruction in a patient with inactive pulmonary tuberculosis during lumbar spine surgery in the prone position--a case report.

    airway obstruction is always a life-threatening event, and it must be recognized and managed immediately. We report an instance of acute airway obstruction associated with hemoptysis in an elderly patient with inactive advanced pulmonary tuberculosis (TB) while undergoing spine surgery. airway obstruction was highly suspected in consequence of postural change because immediate resolution was rewarded after reversion of the position from prone to supine. The chest surgeon consulted intraoperatively did a fiberoptic bronchoscopy and found that the blood was mainly surging from the branching bronchus of right lower lobe, and thus the source of bleeding was confirmed. Hence, in this presentation we discuss the contributory factors which led to the occurrence of hemoptysis and the appropriate perioperative management of this kind of airway obstruction.
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ranking = 32.403244268137
keywords = airway obstruction, airway, obstruction
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25/58. Collapse of a new type of self-expanding metallic tracheal stent.

    Alveolus TB-STS is a new self-expanding, completely polyurethane-covered, metallic stent which has been designed to be successfully used even in the treatment of non-neoplastic airway strictures as it is supposed to be removable. We recently observed the collapse of an Alveolus tracheal stent, causing dyspnea and hemopthysis, in a 63-yr-old female patient with post-intubation tracheal stenosis. Such a complication, which to our knowledge has never been previously reported with metallic stent use, forced us to remove the stent.
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ranking = 1
keywords = airway
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26/58. Postoperative airway obstruction after airway tumor debulking.

    Postoperative airway obstruction is a relatively common complication after anesthesia, occurring most often after head and neck surgery. We present a case of postoperative airway obstruction in a patient who underwent airway tumor debulking. This case demonstrates that, in high-risk patients, despite the traditional methods of determining eligibility for extubation, postoperative airway obstruction can still occur, and alternative means of extubation should be considered.
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ranking = 42.191717984478
keywords = airway obstruction, airway, obstruction
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27/58. Homemade endovascular treatment of postoperative aortobronchial fistulas.

    Successful treatments of aortobronchial fistulas were achieved in two cases using a homemade endovascular stent graft. In one, a 75-year-old man was operated on for a distal arch aneurysm 11 years previously. In the other, a 73-year-old woman was operated on for a ruptured type B aortic dissection 2 months previously. In both cases, the chief complaint was repeated hemoptysis, and the communication between the aorta and the airway tract was at the distal anastomotic site in the descending aorta. To minimize risks associated with reoperation, endovascular stent grafting was selected electively. Postoperative courses were uneventful and there were no recurrences of hemoptysis.
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ranking = 1
keywords = airway
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28/58. Reversibility of complete unperfusion in a patient with recurrent hemoptysis.

    We present a case of a 68-year-old woman with a history of mild smoking and chronic bronchitis who showed recurrent hemoptysis. She presented with a nearly normal chest roentgenogram, a non-diagnostic fiberoptic bronchoscopy and a computed tomography and lung scanning both of which were highly suggestive for malignancy. In fact, the former showed obstruction of the main left bronchus, of the superior bronchus for the left upper lobe and of the apical bronchus for the left lower lobe, the latter showed a total cessation of blood flow through the left lung. Pulmonary angiography, however, was normal and aortography showed dilatated and twisted left bronchial arteries. Computed tomography and lung scanning came back to normal after bronchoscopic aspiration of endobronchial clots and a nonspecific antibiotic therapy were carried out. Although very infrequent, bronchial stenosis on CT and complete monolateral unperfusion on lung scintigraphy may occur in patients with hemoptysis of benign origin. We recommend the use of pulmonary arteriography in patients with the above pattern when diagnostic doubt remains after bronchoscopy.
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ranking = 0.26231442643474
keywords = obstruction
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29/58. asbestosis, endobronchial Aspergillus infection, and bronchocentric granulomatosis presenting with hemoptysis.

    A patient with pulmonary asbestosis developed hemoptysis and a lesion on chest radiograph secondary to bronchocentric granulomatosis (BG) associated with aspergillus fumigatus. Although pulmonary Aspergillus infection is a known complication of asbestos exposure. BG has not been previously reported in this disorder. This patient's case further documents that Aspergillus hyphae may be present in BG unassociated with allergic bronchopulmonary aspergillosis. A wide range of processes affecting airways, including asbestos exposure, may be associated with bronchocentric granulomatosis.
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ranking = 1
keywords = airway
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30/58. Nd-YAG laser application in pulmonary and endobronchial lesions.

    For recurrent pulmonary bleeding and recanalization of centrally obstructed or stenosed airways, endobronchial Nd-YAG laser irradiation through fiberoptic bronchoscopy was performed on 25 patients with malignant (n = 21) and benign (n = 4) disease of tracheobronchial lesions under topical anesthesia. Complete (n = 12) and partial (n = 6) restoration of the airway occurred in all 25 patients after photoresection therapy. For two patients with recurrent bleeding, the therapy resulted in immediate arrest of bleeding. For five patients the therapy resulted in unsuccessful recanalization because of rapidly recurring tumors. Two patients' conditions were complicated by respiratory insufficiency, one caused by smoke intoxication during laser vaporization and the other caused by tenacious rubberlike fibrinous plaque within a day after laser treatment. There was no mortality or perforation of the tracheobronchial wall after laser irradiation. Nd-YAG laser provides an additional tool in the palliative therapy for unresectable, obstructive malignant tumors and a procedure for avoiding extensive surgery in benign lesions.
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ranking = 2
keywords = airway
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