[Treatment of massive endobronchial hemorrhage after cardiopulmonary bypass by selective coil embolization of the bronchial artery].
A 68-year-old woman underwent aortic valve replacement to treat her aortic regurgitation. The operation was performed successfully. Just before coming off cardiopulmonary bypass, massive hemorrhage occurred through the endotracheal tube. Fiberoptic bronchoscopy could not find the bleeding site and 1,350 ml of blood had been lost. Bronchial angiography under percutaneous cardiopulmonary bypass revealed the right middle branch to be the bleeding site. The endotrachial bleeding was treated successfully by selective coil embolization of the bronchial artery. No further bronchial bleeding occurred. Although we found the bleeding site, we could not identify the cause of hemorrhage.
Kamikubo
Yasuhiro
Y
Department of Cardiovascular Surgery, Kushiro City General Hospital, Kushiro, Japan.
Takahashi
D
D
Koyama
M
M
Itoh
M
M
Takahira
M
M
D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001981:Bronchial Arteries; D001982:Bronchial Diseases / Q000209:etiology / Q000628:therapy*; D002315:Cardiopulmonary Bypass; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome