Successful stent-grafting for iatrogenic aortic rupture and life-threatening hemoptysis.
Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are life-threatening processes with very difficult management. We report a case of massive hemoptysis from bronchiectasis complicated with contained rupture of the descending thoracic aorta during bronchial artery embolization. Both lesions were confirmed by angiography and successfully treated by implantation of an endovascular stent-graft in the thoracic aorta. As far as we know, there are no previous reports of successful management of massive hemoptysis from bronchiectasis with an endovascular covered stent-graft prosthesis.
Bautista-Hernandez
V
V
Regional Service of Cardiovascular Surgery, University Hospital Virgen de la Arrixaca, Murcia, Spain. vbauher4@hotmail.com
Gutierrez
F
F
Roldan
S
S
Capel
A
A
Arcas
R
R
D001013:Aorta, Thoracic; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D001981:Bronchial Arteries / Q000293:injuries; D001987:Bronchiectasis / Q000150:complications / Q000628:therapy; D004621:Embolization, Therapeutic / Q000009:adverse effects; D006469:Hemoptysis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures