Japanese Journal of Cardiovascular Surgery Vol49,No.4

Efficacy of Thoracic Endovascular Aortic Repair for Recurrent Hemoptysis of Bronchial-Pulmonary Artery Fistula Resistance to Several Bronchial Artery Embolization
Hiroaki Yamamoto* Hiroyuki Watanabe* Masayoshi Otsu*
Daisuke Kaneyuki*

(Department of Cardiovascular Surgery, Narita Red Cross Hospital*, Narita, Japan)

An 84-year-old woman treated for tuberculosis in childhood presented to our emergency department with chronic cough and massive hemoptysis. Contrast-enhanced computed tomography(CT)on admission revealed a bronchial-pulmonary artery fistula(BPAF)for which she underwent bronchial artery embolization(BAE)and developed hemoptysis postoperatively. Contrast-enhanced CT on admission revealed a connection between the right coronary and a bronchial artery, suggesting coronary-to-bronchial artery communication. Hemoptysis persisted despite coiling of a branch of the right coronary artery. Therefore, we were consulted to perform thoracic endovascular aortic repair(TEVAR), which we performed as a semi-emergency. She did not show hemoptysis or paraplegia postoperatively and was discharged on postoperative day 40. TEVAR is effective for a BPAF in patients in whom BAE cannot control hemoptysis.


Jpn. J. Cardiovasc. Surg. 49:233-236(2020)

Keywords:hemoptysis;thoracic endovascular aortic repair;bronchial-pulmonary artery fistula;bronchial artery embolization

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