title: Severe hemoptysis 6 years after coronary artery bypass grafting.
abstract: A patient with a history of coronary artery bypass grafting was admitted with severe hemoptysis. Bronchoscopy showed recent bleeding with clot formation in the lingular bronchus, but no tumor was visualized. Several biopsies of the underlying mucosa were negative. Coronary angiography showed patent venous and arterial bypass grafts. Selective angiography of the left internal mammary artery revealed one large and two smaller aberrant bronchial side branches, which probably caused the lingular hemorrhage. We performed embolization of the largest aberrant branch. After a follow-up of 3 months, hemoptysis had not recurred.
authors.affiliation: Department of Thoracic and Vascular Surgery, University Hospital of Antwerp, Edegem, Belgium.
authors.forename: Bart J
authors.initials: BJ
authors.lastname: Gypen
authors.forename: Jacek
authors.initials: J
authors.lastname: Poniewierski
authors.forename: Yousef
authors.initials: Y
authors.lastname: Rouhanimanesh
authors.forename: Tessa
authors.initials: T
authors.lastname: Dieudonné
authors.forename: Adolf P E M
authors.initials: AP
authors.lastname: Van Mulders
authors.forename: Olivier C M
authors.initials: OC
authors.lastname: d'Archambeau
authors.forename: Paul E Y
authors.initials: PE
authors.lastname: Van Schil
mesh_terms: D000368:Aged; D000792:Angiography; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D001980:Bronchi / Q000098:blood supply*; D001026:Coronary Artery Bypass; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008323:Mammary Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy