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Respiration ; 99(5): 431-440, 2020.
Article in English | MEDLINE | ID: mdl-31935732

ABSTRACT

Hemoptysis is a frequently encountered symptom in many clinical settings, and etiologic diagnosis can sometimes prove challenging. Bronchoscopy may not promptly reveal the source or the cause of bleeding and few reports have focused so far on the abnormalities of bronchial mucosa vasculature that may unveil the underlying pathophysiology. In this special feature article, we present a series of cases presenting with hemoptysis after angiographic interventions in the thoracic vessels. Localized hyperemia and vascular dilatations in the bronchial mucosa observed during bronchoscopy as unique findings became clues enabling the correct diagnosis and management. We suggest the relevant pathophysiological mechanisms and discuss the available published experience on similar clinical entities.


Subject(s)
Aneurysm/diagnostic imaging , Bronchi/blood supply , Hemoptysis/pathology , Hyperemia/pathology , Postoperative Complications/pathology , Pulmonary Artery/diagnostic imaging , Pulmonary Veins/pathology , Varicose Veins/pathology , Aneurysm/etiology , Aneurysm/surgery , Atrial Fibrillation/surgery , Autoimmune Diseases , Behcet Syndrome/complications , Behcet Syndrome/diagnosis , Bronchial Arteries/surgery , Bronchoscopy , Catheter Ablation/adverse effects , Endovascular Procedures/adverse effects , Female , Hemoptysis/diagnostic imaging , Hemoptysis/etiology , Humans , Hyperemia/diagnostic imaging , Hyperemia/etiology , Iatrogenic Disease , Lung , Male , Middle Aged , Postoperative Complications/diagnostic imaging , Postoperative Complications/etiology , Pulmonary Veins/diagnostic imaging , Thoracic Surgery, Video-Assisted , Varicose Veins/etiology , Young Adult
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