title: [A case of intractable hemoptysis originating from the branches of the right subclavian artery, successfully treated with arterial coil embolization].
abstract: A 30-year-old woman was admitted because of persistent and severe hemoptysis in November 2005. She had been given a diagnosis of interstitial pneumonia (IP) and pulmonary aspergilloma in 2001, and she was treated with oral prednisolone and itraconazole. However she had persistent and intractable hemoptysis. Multi-detector row computed tomography (MDCT) revealed that hemoptysis from the right upper lobe did not originate in bronchial arteries, but the abnormal branches of the right subclavian artery. Surgery was not performed because of her pulmonary function, but she was successfully treated by non-bronchial arterial coil embolization. At 10 months after the embolization, hemoptysis has not recurred. MDCT was very useful for diagnosing the cause of hemoptysis and selective nonbronchial arterial coil embolization might be helpful in treating intractable or refractory hemoptysis.
authors.affiliation: Department of Respirology, Graduate School of Medicine, Chiba University.
authors.forename: Jiro
authors.initials: J
authors.lastname: Terada
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Tanabe
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Shimizu
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yasui
authors.forename: Takasi
authors.initials: T
authors.lastname: Ogasawara
authors.forename: Takenori
authors.initials: T
authors.lastname: Yagi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Kasahara
authors.forename: Katsushi
authors.initials: K
authors.lastname: Kurosu
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Takiguchi
authors.forename: Koichiro
authors.initials: K
authors.lastname: Tatsumi
authors.forename: Takayuki
authors.initials: T
authors.lastname: Kuriyama
mesh_terms: D000328:Adult; D001228:Aspergillosis / Q000150:complications*; D001232:Aspergillus fumigatus; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008172:Lung Diseases, Fungal / Q000150:complications*; D017563:Lung Diseases, Interstitial / Q000150:complications*; D013348:Subclavian Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods