title: [Successful Case of Coil Embolization for Repeated Pulmonary Arterial Bleeding in Postoperative Empyema with Bronchopleural Fistula].
abstract: A 78-year-old woman underwent right S6 segmentectomy and upper lobe partial resection for adenocarcinoma. About 11 months after the operation, she was diagnosed as having empyema with bronchopleural fistula and open thoracotomy was performed. From the following day, active hemorrhage from the pulmonary artery into the thoracic cavity(500~800 ml) repeated. Tamponade, surgical treatment such as putting hemostasis sheet, or covering with a pedicled latissimus dorsi muscle flap could not prevent rebleeding. Therefore selective pulmonary artery coil embolization was performed, after that the rebleeding did not occur.
authors.affiliation: Department of Anesthesiology and Intensive Care Unit, Matsunami General Hospital, Gifu, Japan.
authors.forename: Aki
authors.initials: A
authors.lastname: Tanaka
authors.forename: Toshio
authors.initials: T
authors.lastname: Kasugai
authors.forename: Akiko
authors.initials: A
authors.lastname: Kojima
authors.forename: Etsuko
authors.initials: E
authors.lastname: Minami
authors.forename: Takashi
authors.initials: T
authors.lastname: Niwa
authors.forename: Noboru
authors.initials: N
authors.lastname: Ihara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kitazawa
authors.forename: Fumika
authors.initials: F
authors.lastname: Hanatate
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Matsunami
authors.forename: Yushi
authors.initials: Y
authors.lastname: Saito
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D004621:Embolization, Therapeutic; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000473:pathology*; D011859:Radiography