| Massive hemoptysis due to Rasmussen aneurysm: detection with helicoidal CT angiography and successful steel coil embolization. | |
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MedLine Citation:
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PMID: 13680121 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To present the successful management of two cases of massive hemoptysis related to pulmonary aneurysms in patients with active tuberculosis. DESIGN AND SETTING: Retrospective study in the respiratory intensive care unit (ICU) of a university hospital. PATIENTS: Between July 1996 and January 2002, 46 cases of hemoptysis related to active tuberculosis needed ICU admission. In two cases, pulmonary aneurysm was the source of bleeding. RESULTS: Diagnosis was suspected on enhanced CT scan and confirmed by pulmonary angiograms. Transcatheter occlusion of pulmonary arterial circulation was successful. Both patients were alive at 1-year follow-up. CONCLUSIONS: Massive hemoptysis occurring in patients with active tuberculosis could arise from pulmonary aneurysms. In such cases, bronchial artery embolization is ineffective. Before referring those patients for emergency surgery, an alternative strategy using angiographic study and transcatheter occlusion of pulmonary arterial circulation might be of interest. |
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Authors:
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Clément Picard; Antoine Parrot; Véronique Boussaud; Armelle Lavolé; Faycal Saidi; Charles Mayaud; Marie France Carette |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2003-09-13 |
Journal Detail:
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Title: Intensive care medicine Volume: 29 ISSN: 0342-4642 ISO Abbreviation: Intensive Care Med Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-17 Completed Date: 2004-05-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: United States |
Other Details:
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Languages: eng Pagination: 1837-9 Citation Subset: IM |
Affiliation:
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Service de Réanimation Respiratoire et de Pneumologie, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angiography / methods Embolization, Therapeutic* / instrumentation Hemoptysis / etiology, therapy* Humans Intracranial Aneurysm / complications, radiography*, therapy* Male Middle Aged Remission Induction Retrospective Studies Steel Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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12597-69-2/Steel |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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