Surgical Management of Massive Hemoptysis

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Massive Hemoptysis

Hemoptysis is the expectoration of gross blood or blood-streaked sputum. Hemoptysis is classified as massive or nonmassive based on the rate of bleeding. Expectoration of less than 100 mL of blood in a 24-hour period is considered nonmassive hemoptysis. The definition of massive hemoptysis varies widely in the literature, ranging between 100 and 600 mL of blood in a 24-hour period; however, the...

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Management of Massive Hemoptysis: Analyses of 58 Patients.

OBJECTIVES The objective was to describe changing patterns of etiological factors and treatment modalities for massive hemoptysis. MATERIAL AND METHODS From January 2008-December 2012, the medical records of 58 massive hemoptysis patients were reviewed. RESULTS Fifty-eight patients, 44 were men (75.9%) and 14 were women (24.1%), with a mean age of 51.4 years (range= 19-84 years), were divid...

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Massive hemoptysis during pregnancy.

We report a case of pulmonary carcinoid presenting as massive hemoptysis in a pregnant patient. In our patient, diagnosis of carcinoid tumor was suspected after ruling out other probable and possible causes of hemoptysis. It was confirmed provisionally on flexible fiber optic bronchoscopy and later confirmed on histopathology. Our patient had two consecutive emergency surgeries, emergency cesar...

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Management considerations of massive hemoptysis while on extracorporeal membrane oxygenation.

BACKGROUND Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is a life-saving procedure in patients with both respiratory and cardiac failure. Bleeding complications are common since patients must be maintained on anticoagulation. Massive hemoptysis is a rare complication of ECMO; however, it may result in death if not managed thoughtfully and expeditiously. METHODS A retrospective...

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THERAPEUTIC EMBOLIZATION OF BRONCHIAL ARTERY FOR MASSIVE HEMOPTYSIS

34 bronchial and 13 intercostal arteries were selectively embolized in 27 patients. The most frequent predisposing factor was either active or residual pulmonary tuberculosis. The procedure was performed with Urografin as the contrast agent, cobra shaped or headhunter catheters, and gelfoam (no. 18) or Ivalon (no. 9) particles. The most common anatomic pattern was a common bonchial artery ...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1978

ISSN: 0003-4932

DOI: 10.1097/00000658-197803000-00010