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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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Published in: | Clinical medicine insights. Case reports 2019, Vol.12, p.1179547619896577 |
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description | 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. |
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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.</description><identifier>ISSN: 1179-5476</identifier><identifier>EISSN: 1179-5476</identifier><identifier>DOI: 10.1177/1179547619896577</identifier><identifier>PMID: 31903027</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aneurysms ; Carotid arteries ; Case Report ; Case reports ; Coronary vessels ; Embolization ; Hemoptysis ; Inflammation ; Medical imaging ; Patients ; Pulmonary arteries ; Rehabilitation ; Streptococcus infections ; Veins & arteries</subject><ispartof>Clinical medicine insights. Case reports, 2019, Vol.12, p.1179547619896577</ispartof><rights>The Author(s) 2019</rights><rights>The Author(s) 2019.</rights><rights>2019. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019 2019 SAGE Publications Ltd unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c589t-34559eda46f26a8df217ba4feb32f15f5d1decde0228090a29561759f6b55afc3</citedby><cites>FETCH-LOGICAL-c589t-34559eda46f26a8df217ba4feb32f15f5d1decde0228090a29561759f6b55afc3</cites><orcidid>0000-0002-9192-3657</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6933544/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2423845310?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,21966,25753,27853,27923,27924,27925,37012,44590,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31903027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishikawa, Natsuya</creatorcontrib><creatorcontrib>Kikuchi, Shinsuke</creatorcontrib><creatorcontrib>Ishidou, Kouhei</creatorcontrib><creatorcontrib>Hirofuji, Aina</creatorcontrib><creatorcontrib>Nakanishi, Sentaro</creatorcontrib><creatorcontrib>Ise, Hayato</creatorcontrib><creatorcontrib>Wakabayashi, Naohiro</creatorcontrib><creatorcontrib>Kamiya, Hiroyuki</creatorcontrib><title>Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair</title><title>Clinical medicine insights. 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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.</description><subject>Aneurysms</subject><subject>Carotid arteries</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Coronary vessels</subject><subject>Embolization</subject><subject>Hemoptysis</subject><subject>Inflammation</subject><subject>Medical imaging</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Rehabilitation</subject><subject>Streptococcus infections</subject><subject>Veins & arteries</subject><issn>1179-5476</issn><issn>1179-5476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk1v1DAQhiMEolXpnROyxHnBH7ETX5BQRaFSJS5wtib2eNerJA52stLyF_jTOGwpLRL4YI9fv_N4bE1VvWT0DWNN87ZMWtaNYrrVSjbNk-p8lTar9vRBfFZd5rynZQgtG6GeV2eCaSoob86rH9cQenRkTjBmC_MOZ0xkWvohjpCOBFLZHwkOXezDd5hDHEkYCZCpxDjOJC_eYwrjlvgUBzJAzuGAZIdDnOZjDpmAX5HzLiawwRIcXTxAtksPiUBMc9ESThDSi-qZhz7j5d16UX29_vDl6tPm9vPHm6v3txsrWz1vRC2lRge18lxB6zxnTQe1x05wz6SXjjm0DinnLdUUuJaKNVJ71UkJ3oqL6ubEdRH2ZkphKC81EYL5JcS0NbCW1aNh1DrlmFS1ZbXDphOgqOaKdRSBda6w3p1Y09IN6Gz5kgT9I-jjkzHszDYejNJCyLougNd3gBS_LZhns49LGsv7Da-5aGspGP2vSwgm21a3bXHRk8ummHNCf18Ho2btGfN3z5SUVw_rv0_43SHFsDkZMmzxz63_BP4EBhrNFg</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>Ishikawa, Natsuya</creator><creator>Kikuchi, Shinsuke</creator><creator>Ishidou, Kouhei</creator><creator>Hirofuji, Aina</creator><creator>Nakanishi, Sentaro</creator><creator>Ise, Hayato</creator><creator>Wakabayashi, Naohiro</creator><creator>Kamiya, Hiroyuki</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9192-3657</orcidid></search><sort><creationdate>2019</creationdate><title>Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair</title><author>Ishikawa, Natsuya ; 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Case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Natsuya</au><au>Kikuchi, Shinsuke</au><au>Ishidou, Kouhei</au><au>Hirofuji, Aina</au><au>Nakanishi, Sentaro</au><au>Ise, Hayato</au><au>Wakabayashi, Naohiro</au><au>Kamiya, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair</atitle><jtitle>Clinical medicine insights. 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subjects | Aneurysms Carotid arteries Case Report Case reports Coronary vessels Embolization Hemoptysis Inflammation Medical imaging Patients Pulmonary arteries Rehabilitation Streptococcus infections Veins & arteries |
title | Failed transcatheter pulmonary artery embolization in a patient suffering from massive hemoptysis after thoracic endovascular aortic repair |
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