Unusual Cause of Life-Threatening Hemoptysis During Cardiac Operation: Surgical Management Revisited

Joshua Fortin; Rosaire Vaillancourt; Louise Vigneault; Maxime Laflamme; Mathieu Simon; Jean S Bussières

doi:10.1016/j.athoracsur.2017.04.010

Unusual Cause of Life-Threatening Hemoptysis During Cardiac Operation: Surgical Management Revisited

Ann Thorac Surg. 2017 Sep;104(3):e251-e252. doi: 10.1016/j.athoracsur.2017.04.010.

Authors

Joshua Fortin¹, Rosaire Vaillancourt², Louise Vigneault³, Maxime Laflamme⁴, Mathieu Simon⁵, Jean S Bussières⁶

Affiliations

¹ Department of Anesthesiology and Critical Care, Laval University, Québec City, Québec, Canada.
² Department of Thoracic Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
³ Department of Anesthesiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
⁴ Department of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
⁵ Department of Pneumology, Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
⁶ Department of Anesthesiology and Critical Care, Laval University, Québec City, Québec, Canada; Department of Anesthesiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec City, Québec, Canada. Electronic address: [email protected].

PMID: 28838519
DOI: 10.1016/j.athoracsur.2017.04.010

Abstract

The surgical management of life-threatening perioperative hemoptysis has been vastly replaced by radiologic embolization. In some situations, surgical therapy can prove useful. This case report describes life-threatening hemoptysis of an unusual cause during coronary artery bypass grafting, managed through an original technique of temporary pulmonary vascular exclusion by thoracotomy.

Publication types

Case Reports

MeSH terms

Aged
Blood Loss, Surgical / prevention & control*
Coronary Artery Bypass / adverse effects*
Coronary Artery Disease / surgery*
Hemoptysis / etiology*
Hemoptysis / surgery*
Hemostasis, Surgical / methods*
Humans
Male
Pulmonary Artery / surgery
Thoracotomy