title: Life-threatening hemoptysis due to left inferior phrenic artery to pulmonary artery fistula rescued by extracorporeal membrane oxygenation therapy.
abstract: Life-threatening hemoptysis due to bronchiectasis is an emergency and needs immediate bronchial angiographic embolization or surgical intervention. Most of the bleeding events arise from the bronchial artery. We report a very rare case of a patient who had bronchiectasis, but with bleeding from the left phrenic artery to pulmonary artery fistula, an artery originating from abdominal aorta. In this case, we also demonstrate that extracorporeal membrane oxygenation without heparinization as a bridge tool for life-threatening hemoptysis could allow the patient to undergo definite therapy more successfully.
authors.affiliation: Department of Chest Medicine, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Province of China. sjhsu@vghtpe.gov.tw
authors.forename: Shao-Jung
authors.initials: SJ
authors.lastname: Hsu
authors.forename: Yung-Hung
authors.initials: YH
authors.lastname: Luo
authors.forename: Yu-Chin
authors.initials: YC
authors.lastname: Lee
authors.forename: Kuang-Yao
authors.initials: KY
authors.lastname: Yang
mesh_terms: D000328:Adult; D001987:Bronchiectasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D016638:Critical Illness / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods; D004638:Emergency Treatment; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011013:Pneumonectomy / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography; D018570:Risk Assessment; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D054079:Vascular Malformations / Q000150:complications / Q000000981:diagnostic imaging