Active pulmonary hemorrhage localized by selective pulmonary angiography.
Massive hemoptysis in a young woman with negative chest film findings is presented. By using selective pulmonary artery angiography during active pulmonary bleeding, the following findings were demonstrated: (1) intraparenchymal hemorrhage, (2) clearing of blood from the lung and bronchial tree by coughing, (3) early filling of the inferior pulmonary vein. Following lobectomy, specimen angiography suggests the presence of a small arteriovenous fistula. This experience demonstrates that selective pulmonary arteriography may be a useful adjunct in the management of selected patients with massive hemoptysis of obscure etiology.
D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications; D005260:Female; D006469:Hemoptysis / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008168:Lung / Q000098:blood supply; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D011859:Radiography