aortobronchial fistula (abf) is a rare and late complication of cardiac surgery. if untreated, mortality rate is approximately 100% secondary to exsanguinations haemoptysis. early diagnosis and treatment are essential for successful management. open surgical repair is associated with high morbidity and mortality rate, ranging from 25% to 41%. endovascular treatments of abf is a less invasive tr...

A 27 year old man with hereditary haemorrhagic telangiectasia who developed progressive liver dysfunction underwent living related right lobe transplantation. Pulmonary arteriography did not reveal arteriovenous malformation or abnormal intrapulmonary venous channels. The postoperative course was characterised by persistent hypoxaemia and respiratory failure developed. On day 6, a massive haemo...

A 27 year old man with hereditary haemorrhagic telangiectasia who developed progressive liver dysfunction underwent living related right lobe transplantation. Pulmonary arteriography did not reveal arteriovenous malformation or abnormal intrapulmonary venous channels. The postoperative course was characterised by persistent hypoxaemia and respiratory failure developed. On day 6, a massive haemo...

Of 14 patients with complex aspergilloma complicating healed tuberculosis, 12 underwent lobectomy or pneumonectomy for recurrent haemoptysis. No deaths occurred, though one patient needed re-exploration for bleeding. There was no postoperative worsening of dyspnoea despite a mean forced vital capacity (FVC) of 60% predicted for the patients undergoing surgery and of 20% predicted for two patien...

A 42-year old woman presented with rheumatoid arthritis, dyspnoea and a congenital foregut cyst referred by a rheumatologist for thoracic surgery. The cyst was removed by video-assisted thoracoscopic surgery. The patient developed acute haemoptysis in the immediate postoperative period, which necessitated pulmonary resection due to infracted right lower lobe. This case report highlights the com...

OBJECTIVE To audit the use of bronchial arteriography and embolisation for controlling haemoptysis. DESIGN Retrospective review of radiological and clinical data. SETTING Brompton and National Heart Hospitals. PATIENTS 35 patients with severe pulmonary disease in whom 58 bronchial arteriograms were obtained between 1 January 1984 and 31 December 1989 with the intention of bronchial artery...

Cystic fibrosis (CF) is a recessive genetic disease characterised by impaired muco-ciliary clearance. Although the disease affects multiple organs, 85% of mortality results from lung pathology relating to persistent recurrent infections, an exaggerated inflammatory response and progressive airways obstruction which ultimately leads to respiratory failure. Haemoptysis is a common symptom of CF w...

BACKGROUND Haemoptysis is a common symptom and can be an early sign of lung cancer. Careful investigation of patients with haemoptysis may lead to early diagnosis. The strategy for investigation of these patients, however, is still being debated. OBJECTIVES We studied whether the combination of computed tomography (CT) and bronchoscopy had a higher sensitivity for malignant and non-malignant ...

OBJECTIVES The objective of this review was to determine the feasibility of emergency lung resection for massive haemoptysis without preoperative bronchial artery embolization (BAE). The potential for fatal recurrent haemoptysis following BAE may be avoided if surgery is undertaken instead. Furthermore, if the outcomes for emergency lung resection with and without BAE are equivalent, it may be ...