Myocardial Infarction as a Complication of Bronchial Artery Embolization

Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old m...

Full description

Saved in:
Bibliographic Details
Published in:Cardiovascular and interventional radiology 2017-03, Vol.40 (3), p.460-464
Main Authors: Labbé, Hugo, Bordeleau, Simon, Drouin, Christine, Archambault, Patrick
Format: Article
Language:English
Subjects:
Angiography
Bronchial Arteries - diagnostic imaging
Bronchoscopy
Cardiology
Case Report
CHEST
CORONARIES
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - etiology
Echocardiography
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - methods
Hemoptysis - therapy
Humans
Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
MYOCARDIAL INFARCTION
Nuclear Medicine
PAIN
PATIENTS
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
Retrospective Studies
ST Elevation Myocardial Infarction - diagnostic imaging
ST Elevation Myocardial Infarction - etiology
Ultrasound
VASCULAR DISEASES
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old man who developed an ST elevation myocardial infarction during bronchial artery embolization, presumably because of coronary embolism by injected particles. In this patient who had no previously known coronary artery disease, we retrospectively found a communication between the left bronchial artery and the circumflex coronary artery. This fistula was not visible on the initial angiographic view and likely opened because of the hemodynamic changes resulting from the embolization. This case advocates for careful search for bronchial-to-coronary arterial fistulas and the need for repeated angiographic views during embolization procedures.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-016-1508-x