title: Massive hemoptysis caused by tracheal hemangioma treated with interventional radiology.
abstract: Capillary hemangiomas of the tracheobronchial tree are extremely rare in adults, with hemoptysis being one of the most serious forms of presentation. An operation has been the treatment of choice, although it does involve high rates of morbidity and mortality, especially in emergency situations such as massive hemoptysis, which has led to the search for other therapeutic alternatives. There is no experience with embolization by interventional radiology when the hemoptysis is tracheal in origin, caused partly because the infrequency of this pathology; however, the foundations for it have been laid with the development of embolization for bronchopulmonary pathology. We report a case of a tracheal capillary hemangioma in a 66-year-old woman diagnosed with idiopathic thrombopenic purpura, which began as a massive hemoptysis and was treated successfully with embolization by interventional radiology. There has been no recurrence of the bleeding after 1 year's follow-up, and the patient's control fibrobronchoscopy is normal.
authors.affiliation: Department of Surgery, Thoracic Surgery Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. arzrios@teleline.es
authors.forename: Antonio Ríos
authors.initials: AR
authors.lastname: Zambudio
authors.forename: Maria Jose Roca
authors.initials: MJ
authors.lastname: Calvo
authors.forename: Juan Torres
authors.initials: JT
authors.lastname: Lanzas
authors.forename: J García
authors.initials: JG
authors.lastname: Medina
authors.forename: Pascual Parrilla
authors.initials: PP
authors.lastname: Paricio
mesh_terms: D000368:Aged; D001999:Bronchoscopy; D004621:Embolization, Therapeutic / Q000379:methods*; D004630:Emergencies; D005260:Female; D018324:Hemangioma, Capillary / Q000150:complications / Q000628:therapy*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D015641:Radiography, Interventional; D014134:Tracheal Neoplasms / Q000150:complications / Q000628:therapy*