The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1884-1724
Print ISSN : 0917-4141
ISSN-L : 0917-4141
Surgical indications for patients with hemoptysis
Takaaki IkedaTadaaki SakaiYoshihiro Nishimura
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1987 Volume 1 Issue 2 Pages 106-111

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Abstract
Twenty-nine patients with hemoptysis were studied. Fifteen patients underwent operations. Eight were treated with bronchial arterial embolization (BAE) alone. Six died of large amount of hemoptysis, among which four had a hemorrhage from postoperative bronchopulmonary arterial fistula. Among operated patients, eight underwent preoperative BAE. Six patients made unfavorable results, among whom two underwent emergent operations. One patient was treated with four times BAE alone during five years seven months period. Follow up interval of five patients with single BAE does not reach two years. They require longer observation. Relative indications for operation are effective BAE, confined lesions or marked organic change. Absolute indication is in the case of ineffective BAE when patient's general status permits operative burden. Hemorrhages from bronchopulmonary arterial fistalas require emergent operation, however, most cases are fatal.
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© The Japanese Association for Chest Surgery
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