Bronchial artery dissection and fatal hemothorax following pneumonectomy.
A 59-year-old man died suddenly and unexpectedly two days after an uncomplicated pneumonectomy for bronchogenic adenocarcinoma. In addition to a distal pulmonary thromboembolism found at postmortem, there was significant hemorrhaging into the pneumonectomy space, which was associated with rupture of a dissecting aneurysm in the calcified bronchial artery stump. The pathology and surgical implications of bronchial artery disease are discussed.
Tang
Augustine T M
AT
Department of Thoracic Surgery, Wessex Cardiothoracic Centre, Southampton General Hospital, Southampton, Hampshire, England, UK. gus@tang-family.org
Velissaris
Theodore J
TJ
Tsang
Geoffrey
G
Roche
William
W
D000784:Aortic Dissection / Q000209:etiology*; D001981:Bronchial Arteries; D002283:Carcinoma, Bronchogenic / Q000601:surgery*; D017809:Fatal Outcome; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*