Severe haemoptysis due to subclavian arteritis.
Severe haemoptysis due to infective subclavian arteritis has, to our knowledge, never been documented. We report a case of subclavian arterial vasculitis that eroded into the left lung apex, causing a large intraparenchymal mycotic pseudoaneurysm. The patient presented with high fever and blood expectoration. An emergent left lateral thoracotomy was performed. The inflamed segment of the subclavian artery was resected and continuity was restored with a reversed saphenous vein graft. The postoperative course was uneventful and the patient was discharged on the 10th postoperative day.
Thoracic Surgery Department, Sismanogleio General Hospital, Athens, Greece.
A
A
Lioulias
P
P
Misthos
J
J
Kokotsakis
O
O
Drosos
N
N
Karagiannidis
D
D
Pavlopoulos
M
M
Mitselou
D000293:Adolescent; D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D006469:Hemoptysis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013348:Subclavian Artery / Q000601:surgery*