title: The management of near-fatal hemoptysis with left secondary carinal y stent.
abstract: Massive hemoptysis can be a life threatening condition and needs urgent treatment in lung cancer. In the fiberoptic bronchoscopy of a fifty-two-year-old who was admitted with hemoptysis, left upper lobe upper division orifice was seen totally obstructed with a submucosal infiltration. One hour after the mucosal biopsies, massive hemoptysis occurred. Urgent rigid bronchoscopy was performed. The left main bronchus was occluded by sterile gauze. After cleaning of the coagulum patient was intubated and charged to intensive care unit. The next day, rigid bronchoscopy was repeated and the bleeding was observed to continue from the left upper lobe. Removing the gauze, 14 × 10 × 10 mm silicon Y stent was inserted in the left main bronchus after adjustments were made. Bleeding was stopped after insertion of the stent and patient could be extubated. In this case a successful control of hemoptysis was sustained after insertion of a customized silicon stent was presented.
authors.affiliation: Department of Pulmonary Medicine, School of Medicine, İstanbul Bilim University, Istanbul, Turkey.
authors.forename: Levent
authors.identifier: 0000-0002-9754-5474
authors.initials: L
authors.lastname: Dalar
authors.affiliation: Yedikule Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Zeytinburnu, 34760 Istanbul, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozdemir
authors.affiliation: Yedikule Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Zeytinburnu, 34760 Istanbul, Turkey.
authors.forename: Sinem
authors.initials: S
authors.lastname: Sökücü
authors.affiliation: Yedikule Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Zeytinburnu, 34760 Istanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Karasulu
authors.affiliation: Yedikule Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Zeytinburnu, 34760 Istanbul, Turkey.
authors.forename: Sedat
authors.initials: S
authors.lastname: Altın