[Hemoptysis one year after video-assisted thoracoscopic bullectomy for spontaneous pneumothorax: report of a case].
Kyobu Geka
; 61(4): 340-3, 2008 Apr.
Article
en Ja
| MEDLINE
| ID: mdl-18411701
A 63-year-old man who had underwent video-assisted thoracoscopic bullectomy for left spontaneous pneumothorax 1 year before developed recurrent hemoptysis. Chest computed tomography showed previous stapling of the subsegmental bronchus in the left apico-posterior segment Bronchial arteriography showed hypervascularization of bronchial artery in the left upper segment and pooling of contrast medium along the staple-suture line. Video-assisted thoracoscopic apico-posterior segmentectomy was performed successfully. Pathological examination revieled hemosiderin lining along the surgical stump of B(1+2)cii, neither with infection nor infarction. These findings suggest that mechanical stapling of B(1+2)cii induced ischemia in the peripheral lung parenchyma causing bronchial hypervascularization. Late onset hemoptysis should be kept in mind as a complication after bullectomy with a mechanical stapler.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumotórax
/
Cirugía Torácica Asistida por Video
/
Hemoptisis
Límite:
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Kyobu Geka
Año:
2008
Tipo del documento:
Article
País de afiliación:
Japón
Pais de publicación:
Japón