[Hemoptysis one year after video-assisted thoracoscopic bullectomy for spontaneous pneumothorax: report of a case].
A 63-year-old man who had underwent video-assisted thoracoscopic bullectomy for left spontaneous pneumothorax 1 year before developed recurrent hemoptysis. Chest computed tomography showed previous stapling of the subsegmental bronchus in the left apico-posterior segment Bronchial arteriography showed hypervascularization of bronchial artery in the left upper segment and pooling of contrast medium along the staple-suture line. Video-assisted thoracoscopic apico-posterior segmentectomy was performed successfully. Pathological examination revieled hemosiderin lining along the surgical stump of B(1+2)cii, neither with infection nor infarction. These findings suggest that mechanical stapling of B(1+2)cii induced ischemia in the peripheral lung parenchyma causing bronchial hypervascularization. Late onset hemoptysis should be kept in mind as a complication after bullectomy with a mechanical stapler.
Hori
Daijiro
D
Department of General Thoracic Surgery, Jichi Medical School, Saitama Medical Center, Saitama, Japan.
Endo
S
S
Tsubochi
H
H
Miwa
C
C
Watanabe
Y
Y
Koyama
S
S
Matsuura
K
K
Nokubi
M
M
Sohara
Y
Y
D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000601:surgery*; D011183:Postoperative Complications; D013537:Sutures / Q000009:adverse effects; D020775:Thoracic Surgery, Video-Assisted