Massive pulmonary hemorrhage secondary to an acquired arteriovenous fistula is a rare event associated with high mortality. Cotton wads mounted on steel coils were inserted by percutaneous catheter and successfully occluded a pulmonary arteriovenous fistula in a patient who had massive hemoptysis and contraindications to thoracotomy.

It is with interest that we read Dr. Goldberg’s letter. Although finding a pseudoaneurysm is common, the development of hemoptysis secondary to fistula formation is very rare. The observation that CT scan can be used to identify a patient with ventriculobronchial fistula is very important since many patients now undergo ventricular aneurysm repair and may be at risk for this rare complication.

A 56-year-old man with metastatic prostatic carcinoma underwent placement of a Hickman catheter. Approximately two months after the procedure, he was admitted to the hospital with hemoptysis and in respiratory distress. A contrast computed tomographic (CT) scan confirmed the diagnosis of a cava-bronchial fistula. The fistula was surgically repaired, and the patient made a satisfactory recovery.

Masanobu Miyazaki, MD, Department of Internal Medicine VII, School of Medicine, Tokai University, Isehara, Kanagawa 259-11 (Japan) Dear Sir, This is the first report of aortobronchial fistula complication in a hemodialysis patient. The patient was 56-year-old male who underwent hemodialysis for 10 years, and complicated aortobronchial fistula with an aortic aneurysm. He died due to massive hemo...

Congenital bronchoesophageal fistula is a rare clinical entity in adult patients. This anomaly may cause various symptoms such as respiratory infections, coughing bouts when eating or drinking, and even hemoptysis. We present a report on 9 patients with bronchoesophageal fistulas who were treated in our hospital during the last 30 years. One patient died of pulmonary complications before defini...

A patient with prior GBF and new-onset hemoptysis was diagnosed as having recurrent GBF by measurement of bronchial secretion pH. This is a previously unreported means of diagnosing this process. Bronchoscopic findings were substantiated by upper GI contrast study and surgical findings.

conclusions in conclusion complementary to the previous studies our results have demonstrated that bronchial artery embolization remains as one of the most efficient procedures in managing massive hemoptysis, with minimal rate of complications. patients and methods all the patients had already been assessed by computerized tomography (ct) to localize and delineate the underlying etiology except...

Between 1969 and 1979, 20 patients under-went pneumonectomy for tuberculous destroyed lungs (TDL) at the University College Hospital (UCH), Ibadan, Nigeria. Their ages ranged from 9 to 57 years, with an average age of 24 years. The left lung was involved in 16 patients (80 percent) and the right lung in four patients (20 percent). All patients had received treatment for pulmonary tuberculosis (...

A 55-year-old man presented with massive hemoptysis following coronary artery bypass grafting and repair of a left ventricular aneurysm. Radiological and bronchoscopic examinations revealed no bronchial cause. The findings of computed tomography (CT) of the chest and echocardiography showed a pseudoaneurysm of the left ventricle. Surgical exploration confirmed that the pseudoaneurysm communicat...