A Case of Pulmonary Artery-bronchial Fistula with Massive Hemoptysis due to Pulmonary Tuberculosis.

Jo, Kyung Wook; Hong, Yoon Ki; Han, Jung Hye; Lee, Jae Keun; Hong, Sang Bum

doi:2007.63.5.430

Tuberc Respir Dis > Volume 63(5); 2007 > Article

Case Report

Tuberculosis and Respiratory Diseases 2007;63(5):430-434.
DOI: https://doi.org/10.4046/trd.2007.63.5.430 Published online November 1, 2007.

A Case of Pulmonary Artery-bronchial Fistula with Massive Hemoptysis due to Pulmonary Tuberculosis.

Kyung Wook Jo, Yoon Ki Hong, Jung Hye Han, Jae Keun Lee, Sang Bum Hong

Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sbhong@amc.seoul.kr

Abstract

Massive and untreated hemoptysis is associated with a >50% mortality rate. Since bleeding has a bronchial arterial origin in most patients, bronchial artery embolization (BAE) has become an accepted treatment in massive hemoptysis. The possibility of bleeding from pulmonary artery should be considered in patients in whom the bleeding focus cannot be found by Bronchial angiogram. Indeed, the bleeding occurs from a pulmonary artery in approximately 10% of patients with massive hemoptysis. The most common causes of bleeding from the pulmonary artery are pulmonary artery rupture associated with a Swan-Ganz catheter, infectious diseases and vasculitis. We report a rare case of a fistula between the right upper lobar pulmonary artery and the right upper lobar bronchus in a 71-year-old woman who presented with massive hemoptysis.

Key Words: Pulmonary artery-bronchial fistula, Massive hemoptysis