Is transcatheter rescue management of a pulmonary artery bronchial fistula justified?

C. M. Bhamidipati, L. J. Kohman

Research output: Contribution to journalArticle

Abstract

Endobronchial brachytherapy and interventional bronchology have changed the management of stage 3A (T4N0M0) non-small cell lung carcinoma. We discuss the case of a female patient who developed massive hemoptysis due to a fistula between the left pulmonary artery and stented left main bronchus. Although transcatheter management of the fistula was initially successful, the patient outcome secondary to coronary insult was poor. We present our management dilemma to highlight the need for careful consideration when selecting patients with heavily irradiated chests for endobronchial stenting.

Original languageEnglish (US)
Pages (from-to)229-231
Number of pages3
JournalThoracic and Cardiovascular Surgeon
Volume58
Issue number4
DOIs
StatePublished - Jun 10 2010

Keywords

  • Endobronchial brachytherapy
  • External beam radiotherapy
  • Interventional bronchology
  • Nonsmall cell lung cancer
  • Pulmonary artery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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