[A case of the management of developed collateral vessels through left thoracotomy of recurrence of right bronchiectasia with hemoptysis].
A 40-year-old woman, with a previous history of right S1, S2 segmentectomy and right middle lobectomy for bronchiectasis with hemoptysis at the age of 24, was admitted for frequent hemoptysis. As a result of a chest roentgenogram, a CT scan and bronchographic examination, a recurrence of bronchiectasis in the right ventral segment of the upper lobe (S3) and the right superior segment of the lower lobe (S6) was diagnosed. The bronchial arteriogram and aortogram showed four vessels going into this region and a shunt lesion was located on located on the proximal side of the pulmonary artery. If a right pneumonectomy had been done, pulmonary function would have gotten worse. If a right thoracotomy had been performed, there would have been much bleeding from the entering vessels. Therefore, a left thoracotomy was preformed and those vessels ligated. The patient is doing well one year after the operation without hemoptysis.
Kagaya
H
H
Nakamura
M
M
Kikuchi
Y
Y
Kimura
N
N
Igarashi
T
T
Shigehara
K
K
Tagaki
S
S
D000328:Adult; D001981:Bronchial Arteries / Q000601:surgery*; D001987:Bronchiectasis / Q000150:complications*; D003097:Collateral Circulation; D005260:Female; D006469:Hemoptysis / Q000150:complications / Q000601:surgery*; D006801:Humans; D008026:Ligation; D012008:Recurrence; D013908:Thoracotomy / Q000379:methods