Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion

Hemoptysis constitutes a common and urgent medical problem. Swift and effective management is of crucial importance, especially in severe, life-threatening cases. Because of bronchial artery or a branch of pulmonary artery erosion due to cavitary infiltration, bronchiectasis, fungus ball, broncholit...

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Main Authors: Ravisagar Patel, Abhinav Singh, Rajendra Mohan Mathur, Anula Sisodiya
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2015/897896
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author Ravisagar Patel
Abhinav Singh
Rajendra Mohan Mathur
Anula Sisodiya
author_facet Ravisagar Patel
Abhinav Singh
Rajendra Mohan Mathur
Anula Sisodiya
author_sort Ravisagar Patel
collection DOAJ
description Hemoptysis constitutes a common and urgent medical problem. Swift and effective management is of crucial importance, especially in severe, life-threatening cases. Because of bronchial artery or a branch of pulmonary artery erosion due to cavitary infiltration, bronchiectasis, fungus ball, broncholithiasis, or destroyed lung, the bleeding can lead to highly compromised gas exchange or sometimes can be a life-threatening situation. Chest computerized tomography and bronchoscopy remain the methods of choice for lateralization of the disease. Some patients can be treated successfully with endobronchial interventions. Bronchial artery embolization can be rewarding in some patients but the recurrence rate is higher in tuberculosis than other etiologies of hemoptysis. Surgical resection of the lung, mainly lobectomy, remains a life-saving procedure but it should be performed very selectively to avoid higher postoperative morbidity and mortality.
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publishDate 2015-01-01
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spelling doaj-art-bbd7aa86ab3c455b833b31ad8fbab7ef2025-02-03T01:13:02ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/897896897896Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary LesionRavisagar Patel0Abhinav Singh1Rajendra Mohan Mathur2Anula Sisodiya3Department of Cardiothoracic and Vascular Surgery, SMS Hospital, 177, Ram Gali No. 2, Raja Park, Jaipur, Rajasthan 302004, IndiaDepartment of Cardiothoracic and Vascular Surgery, SMS Hospital, 177, Ram Gali No. 2, Raja Park, Jaipur, Rajasthan 302004, IndiaDepartment of Cardiothoracic and Vascular Surgery, SMS Hospital, 177, Ram Gali No. 2, Raja Park, Jaipur, Rajasthan 302004, IndiaDepartment of Cardiothoracic and Vascular Surgery, SMS Hospital, 177, Ram Gali No. 2, Raja Park, Jaipur, Rajasthan 302004, IndiaHemoptysis constitutes a common and urgent medical problem. Swift and effective management is of crucial importance, especially in severe, life-threatening cases. Because of bronchial artery or a branch of pulmonary artery erosion due to cavitary infiltration, bronchiectasis, fungus ball, broncholithiasis, or destroyed lung, the bleeding can lead to highly compromised gas exchange or sometimes can be a life-threatening situation. Chest computerized tomography and bronchoscopy remain the methods of choice for lateralization of the disease. Some patients can be treated successfully with endobronchial interventions. Bronchial artery embolization can be rewarding in some patients but the recurrence rate is higher in tuberculosis than other etiologies of hemoptysis. Surgical resection of the lung, mainly lobectomy, remains a life-saving procedure but it should be performed very selectively to avoid higher postoperative morbidity and mortality.http://dx.doi.org/10.1155/2015/897896
spellingShingle Ravisagar Patel
Abhinav Singh
Rajendra Mohan Mathur
Anula Sisodiya
Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
Case Reports in Pulmonology
title Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
title_full Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
title_fullStr Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
title_full_unstemmed Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
title_short Emergency Pneumonectomy: A Life-Saving Measure for Severe Recurrent Hemoptysis in Tuberculosis Cavitary Lesion
title_sort emergency pneumonectomy a life saving measure for severe recurrent hemoptysis in tuberculosis cavitary lesion
url http://dx.doi.org/10.1155/2015/897896
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