Massive Hemoptysis due to Right Inferior Phrenic Artery-to-Right Pulmonary Artery Fistula in the Right Middle Lobe of the Lung.
Massive hemoptysis is a medical emergency and needs immediate treatment. It occurs in a wide variety of pulmonary diseases and typically originates from the bronchial arteries. We herein report a very rare case of a patient bleeding from a right phrenic artery-to-pulmonary artery fistula accompanied with focal bronchiectasis in the right middle lobe of the lung. In this case, multi-detector computed tomography was useful for clarifying the etiology and the abnormal anastomosis and facilitated effective angiographic embolization.
Department of Neurology and Anti-aging Medicine, National Defense Medical College, Japan.
Emi
E
Yakushiji
Shinichiro
S
Ota
Tomohiro
T
Komatsu
Makoto
M
Ayaori
Katsunori
K
Ikewaki
D000369:Aged, 80 and over; D000792:Angiography; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000628:therapy; D001981:Bronchial Arteries / Q000473:pathology*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008168:Lung / Q000473:pathology*; D011651:Pulmonary Artery / Q000473:pathology*; D014057:Tomography, X-Ray Computed / Q000009:adverse effects