Pulmonary Hypertension Associated with Long-standing

1303 With the increasing use of AICDs, an increasing number ofcomplications will be seen. In these patients, the etiology of hemoptysis should be aggressively pursued. In this case, the standard angiographic approach did not identify the bleeding artery. If a bleeding vessel cannot be identified or embolized, alternative measures must be considered. Lifethreatening hemoptysis can be temporarily managed by unilateral, or, as in this case, segmental bronchial occlusion via endotracheal intubation using a balloon catheter to occlude the bronchus of the hemorrhaging lobe. The technique ofsegmental bronchial occlusion limits the lung parenchyma lost to a lobe. This should be valuable in all patients, particularly those with a compromised pulmonary reserve. Furthermore, the remaining lung can be efficiently ventilated. As in this case, fluoroscopic guidance and familiarity with guidewire catheter technique would be essential. This technique should reduce the complications and mortality associated with massive hemoptysis when the hemorrhaging lobe can be isolated.