title: Hemoptysis from bronchial varices associated with pulmonary vein stenosis: role of surgical repair.
abstract: We present the case of a 6-year-old child who presented with an episode of life threatening hemoptysis. Investigations revealed multiple areas of endobronchial varices and abnormal pleural vessels as well as severe left pulmonary vein stenosis and an atrial septal defect (ASD). After extensive work up and consultation he underwent repair of the left pulmonary vein using a sutureless technique and ASD closure. This resulted in a marked improvement in the appearances of the left lung. The bronchial varices in the right lung remain unchanged. No further hemoptysis has occurred and the child continues to be monitored.
authors.affiliation: Department of Respiratory Medicine, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland. aislingwalsh@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Walsh
authors.forename: G
authors.initials: G
authors.lastname: Canny
authors.forename: C J
authors.initials: CJ
authors.lastname: McMahon
authors.forename: J M
authors.initials: JM
authors.lastname: Redmond
authors.forename: P
authors.initials: P
authors.lastname: McNally
mesh_terms: D000792:Angiography; D001706:Biopsy; D001980:Bronchi / Q000098:blood supply*; D001999:Bronchoscopy; D002648:Child; D003937:Diagnosis, Differential; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011667:Pulmonary Veins / Q000601:surgery*; D011668:Pulmonary Veno-Occlusive Disease / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000150:complications* / Q000175:diagnosis / Q000601:surgery