Severe hemoptysis from dilated systemic aberrant arteries supplying normal lung segments

Abdulhamid, Ibrahim; Forbes, Thomas J.

doi:10.1002/ppul.20115

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…reported an 11‐year‐old girl with bleeding from a hypertrophied bronchial artery. Abdulhamid and Forbes reported five patients aged 7–15 years with aberrant systemic arteries from the aorta, right iliac artery, and left/right internal mammary artery. The longest follow‐up time after BAE without complication was reported as 2 years.…”

Section: Discussionmentioning

confidence: 99%

“…Embolization can be repeated if needed. Abdulhamid and Forbes repeated embolization in their two patients. In one case, embolization was repeated 5 years later and in the other case 5 months later.…”

Section: Discussionmentioning

confidence: 99%

“…They drain mostly via the pulmonary veins to the left atrium . The presence of anomalous arterial collateral supply to normal lung segments is well‐reported in adults, but is much less common in children .…”

Section: Introductionmentioning

confidence: 99%

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Successful embolization in childhood hemoptysis due to abnormal systemic arterial bleeding of the lung and review of the literature

Şişmanlar

Aslan

Akkan

et al. 2015

Clinical Respiratory J

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Background and Aims: Hemoptysis in children is a rare but potentially lifethreatening symptom of an underlying respiratory tract abnormality. Hemoptysis, when massive and untreated, has a mortality rate of more than 50%. With interventional radiological procedures and surgery, this rate has dropped to 7%-18%. The experience with bronchial arterial embolization in childhood is very limited; only a few case reports with short-term follow-up have been reported. Methods: We report herein two patients with massive hemoptysis due to abnormal systemic arterial bleeding of the lung; neither patient had any lung or systemic disease. In both cases, the bleeding was controlled with endovascular embolization. The first case had bronchopulmonary arterial anastomosis and represents the first reported case with this anomaly. The second case had recurrent massive hemoptysis due to bronchial artery bleeding, and repeat embolization was performed. Results: Both of these children had rare vascular anomalies without parenchymal lung disease and were treated successfully with bronchial arterial embolization. Conclusion: Massive hemoptysis due to abnormal systemic bleeding of the lung in the absence of parenchymal disease is an uncommon and severe symptom in childhood. Embolization can be a treatment option in children with abnormal vasculature bleeding and can be repeated safely when needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful embolization in childhood hemoptysis due to abnormal systemic arterial bleeding of the lung and review of the literature

Şişmanlar

Aslan

Akkan

et al. 2015

Clinical Respiratory J

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“…Pulmonary sequestration is characterized by a lack of normal bronchial connections to the segment of the lungs supplied by the anomalous vessel. Anomalous systemic arterial supply to a normal segment of the lung (i.e., without sequestration) is a much rarer entity described in case reports in children [1][2][3][4][5][6] and adults [7][8][9][10][11]. This is previously classified as Pryce type I sequestration [12].…”

Section: Introductionmentioning

confidence: 99%

Anomalous Systemic Vessel to the Lung with Hypoplastic Left Heart Syndrome in a Fetus

2013

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We report a case of a fetus with hypoplastic left heart syndrome in addition to an anomalous vessel extending from the descending thoracic aorta to the basal segments of the lower left lung without sequestration. The concurrence of these 2 congenital abnormalities is extremely rare and unreported in the existing literature. The anomalous vessel to the left lung may cause increased pulmonary vascular resistance, which has implications for the long-term management of hypoplastic left heart syndrome via the Fontan procedure.

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“…While most patients are asymptomatic, haemoptysis and exertional dyspnoea are the most common presenting symptoms. If the amount of shunt is sufficiently large to cause cardiac overload, congestive heart failure may develop 2 …”

Section: Introductionmentioning

confidence: 99%

Therapeutic embolization of systemic arterial supply to normal basal segments of the left lower lobe of the lung

Lim¹,

Huh²,

No³

et al. 2009

Respirology

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Systemic arterialization of normal lung without sequestration is a rare congenital abnormality. The basal segments of the left lower lobe are most frequently involved. The involved lung has no structural abnormalities of the tracheobronchial tree that distinguish this abnormality from bronchopulmonary sequestration. Haemoptysis and exertional dyspnoea are common presenting symptoms. We report the case of a 26-year-old man who presented with recurrent haemoptysis due to systemic arterialization of basal segments of the left lower lobe of the lung, without sequestration. Therapeutic embolization using metallic coils was successfully performed without any complications. There was no further haemoptysis during a 6-month follow up. Therapeutic embolization is a safe and effective method of managing the haemoptysis associated with aberrant systemic arterial supply to the normal lung.

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Severe hemoptysis from dilated systemic aberrant arteries supplying normal lung segments

Cited by 6 publications

References 28 publications

Successful embolization in childhood hemoptysis due to abnormal systemic arterial bleeding of the lung and review of the literature

Successful embolization in childhood hemoptysis due to abnormal systemic arterial bleeding of the lung and review of the literature

Anomalous Systemic Vessel to the Lung with Hypoplastic Left Heart Syndrome in a Fetus

Therapeutic embolization of systemic arterial supply to normal basal segments of the left lower lobe of the lung

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