2015 Volume 29 Issue 7 Pages 828-832
Excessive hemorrhage from a pulmonary arteriobronchial fistula after lobectomy of the lung is a life-threatening complication. A 64-year-old male underwent a right lower lobectomy for lung carcinoma (cT2N0M0, stage IB, squamous cell carcinoma); five weeks after the surgery, he developed sudden excessive hemoptysis with shock. Chest CT demonstrated an expansion of the right pulmonary arterial stump. Pulmonary artery aneurysm and bronchial stump fistula were diagnosed. The hemorrhage was caused by a rupture of the pulmonary arterial aneurysm. We performed excision of the aneurysm and bronchial stump. We encountered a life-threatening case of hemorrhage from a pulmonary arterial aneurysm saved by surgical treatment.
