Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction

Hemoptysis may occur in patients with pulmonary venous obstruction and prominent decompressing vessels in the airways adjacent to the affected pulmonary veins. The options for treatment of hemoptysis are limited, particularly when efforts to alleviate pulmonary venous obstruction have failed. Here w...

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Main Authors: Melissa S.W. Yamauchi, Mary Hunt Martin, Harlan R. Muntz, Ronald W. Day
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007117303088
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author Melissa S.W. Yamauchi
Mary Hunt Martin
Harlan R. Muntz
Ronald W. Day
author_facet Melissa S.W. Yamauchi
Mary Hunt Martin
Harlan R. Muntz
Ronald W. Day
author_sort Melissa S.W. Yamauchi
collection DOAJ
description Hemoptysis may occur in patients with pulmonary venous obstruction and prominent decompressing vessels in the airways adjacent to the affected pulmonary veins. The options for treatment of hemoptysis are limited, particularly when efforts to alleviate pulmonary venous obstruction have failed. Here we describe a patient with hemoptysis associated with stenosis of the central left upper pulmonary vein and occlusion of the central left lower pulmonary vein. The left upper pulmonary vein was dilated with balloon catheters and a vascular plug was placed in the left lower pulmonary artery. Vascular engorgement regressed in the left bronchus and hemoptysis has not recurred for 4 years despite recurrence of left upper pulmonary vein stenosis. Selective occlusion of branch pulmonary arteries may be an effective option for the treatment of hemoptysis from bleeding in lung segments with inoperable pulmonary venous obstruction.
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spelling doaj.art-8c909a10d42e4760b8818cdc7b6166a62022-12-22T03:58:41ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0122C28028210.1016/j.rmcr.2017.10.005Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstructionMelissa S.W. Yamauchi0Mary Hunt Martin1Harlan R. Muntz2Ronald W. Day3Pediatric Cardiology, University of Utah and Primary Children's Hospital, 81 North Mario Capecchi Drive, Salt Lake City, UT 84113, United StatesPediatric Cardiology, University of Utah and Primary Children's Hospital, 81 North Mario Capecchi Drive, Salt Lake City, UT 84113, United StatesPediatric Otolaryngology, University of Utah and Primary Children's Hospital, 100 North Mario Capecchi Drive, Salt Lake City, UT 84113, United StatesPediatric Cardiology, University of Utah and Primary Children's Hospital, 81 North Mario Capecchi Drive, Salt Lake City, UT 84113, United StatesHemoptysis may occur in patients with pulmonary venous obstruction and prominent decompressing vessels in the airways adjacent to the affected pulmonary veins. The options for treatment of hemoptysis are limited, particularly when efforts to alleviate pulmonary venous obstruction have failed. Here we describe a patient with hemoptysis associated with stenosis of the central left upper pulmonary vein and occlusion of the central left lower pulmonary vein. The left upper pulmonary vein was dilated with balloon catheters and a vascular plug was placed in the left lower pulmonary artery. Vascular engorgement regressed in the left bronchus and hemoptysis has not recurred for 4 years despite recurrence of left upper pulmonary vein stenosis. Selective occlusion of branch pulmonary arteries may be an effective option for the treatment of hemoptysis from bleeding in lung segments with inoperable pulmonary venous obstruction.http://www.sciencedirect.com/science/article/pii/S2213007117303088BronchoscopyHemoptysisPulmonary arterial hypertensionPulmonary vein stenosis
spellingShingle Melissa S.W. Yamauchi
Mary Hunt Martin
Harlan R. Muntz
Ronald W. Day
Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
Respiratory Medicine Case Reports
Bronchoscopy
Hemoptysis
Pulmonary arterial hypertension
Pulmonary vein stenosis
title Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
title_full Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
title_fullStr Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
title_full_unstemmed Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
title_short Selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
title_sort selective pulmonary artery occlusion to treat hemoptysis associated with pulmonary venous obstruction
topic Bronchoscopy
Hemoptysis
Pulmonary arterial hypertension
Pulmonary vein stenosis
url http://www.sciencedirect.com/science/article/pii/S2213007117303088
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