Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair

An emergency thoracic endovascular aortic repair (TEVAR) with zone 2 landing without revascularization of the left subclavian artery was performed due to the impending rupture of a distal arch aneurysm in an old patient presenting hemoptysis. Two months later, the patient had recurrent massive hemop...

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Bibliographic Details
Published in:Clinical medicine insights. Case reports 2019, Vol.12, p.1179547619896577
Main Authors: Ishikawa, Natsuya, Kikuchi, Shinsuke, Ishidou, Kouhei, Hirofuji, Aina, Nakanishi, Sentaro, Ise, Hayato, Wakabayashi, Naohiro, Kamiya, Hiroyuki
Format: Article
Language:English
Subjects:
Aneurysms
Carotid arteries
Case Report
Case reports
Coronary vessels
Embolization
Hemoptysis
Inflammation
Medical imaging
Patients
Pulmonary arteries
Rehabilitation
Streptococcus infections
Veins & arteries
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Summary:An emergency thoracic endovascular aortic repair (TEVAR) with zone 2 landing without revascularization of the left subclavian artery was performed due to the impending rupture of a distal arch aneurysm in an old patient presenting hemoptysis. Two months later, the patient had recurrent massive hemoptyses and continued after additional zone 0 TEVAR. The lung parenchyma was considered to be the bleeding source and transcatheter pulmonary artery embolization was performed, and the episodes of massive hemoptysis appeared to have ceased. However, the patient died of sudden recurrent massive hemoptysis 40 days later. Inflammation and/or infection of the lung parenchyma adjunct to the aortic aneurysm could be cause of fatal hemoptysis, and aggressive therapy such as lung resection should be considered in such patients.
ISSN:1179-5476
1179-5476
DOI:10.1177/1179547619896577