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Usefulness of Thoracic Endovascular Aortic Repair for the Treatment of Massive Hemoptysis Due to Bronchiectasis;Report of Two Cases Akihiko Sasaki 1 , Shuhei Nishijima 1 , Hitoki Hashiguchi 1 1Department of Cardiovascular Surgery, Sunagawa Medical Center Keyword: hemoptysis , bronchial arterial embolization , thoracic endovascular aortic repair pp.1087-1091
Published Date 2017/12/1
DOI https://doi.org/10.15106/j_kyobu70_1087
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Massive hemoptysis caused by bronchiectasis threatens life, so early bronchial arterial embolization (BAE) is needed. In case 1, a 80-year-old female complained of hemoptysis and back pain caused by bronchiectasis and Stanford type B aortic dissection. In case 2, a 78-year-old male had history of the surgery of descending thoracic aortic aneurysm and bronchiectasis combined with aortopulmonary fistula. Both cases in bronchiectasis with massive hemoptysis were difficult to perform BAE due to complicated with acute aortic dissection and aortopulmonary fistula. We applied Thoracic endovascular aortic repair (TEVAR) to these cases by its occlusive effects of the orifice of bronchial artery and collateral flow from intercostal arteries. Their postoperative courses were satisfactory without hemoptysis. We suggest that TEVAR can become the one of the option for the treatment of massive hemoptysis that is not indicated to BAE.


© Nankodo Co., Ltd., 2017

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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