Lidocaine concentrations in endobronchial aspirates during flexible fiberoptic bronchoscopy.

It is with interest that we read Dr. Goldberg’s letter. Although finding a pseudoaneurysm is common, the development of hemoptysis secondary to fistula formation is very rare. The observation that CT scan can be used to identify a patient with ventriculobronchial fistula is very important since many patients now undergo ventricular aneurysm repair and may be at risk for this rare complication.