Endobronchial argon plasma coagulation for treatment of Dieulafoy disease.

Abstract:

:Dieulafoy disease of the bronchus is a rare condition. A 28-y-old male patient with recurrent exacerbations of hemoptysis (producing up to 300 mL) over the previous 4 y was admitted to our hospital following an acute episode. A 3-mm sessile lesion covered with somewhat ulcerated smooth mucosa was detected at the distal end of the left main bronchus, at the entrance to the upper lobe bronchus. Bleeding was controlled by argon plasma coagulation, and total coagulation of the lesion was also therapeutic. The patient has been followed for 2 y with no further bleeding. In the very few reported cases of Dieulafoy disease, surgical resection and selective embolization were the treatments used. Endobronchial treatment has not been described before as a therapeutic approach. We emphasize that argon plasma coagulation can be a treatment option in such cases.

journal_name

Respir Care

journal_title

Respiratory care

authors

Dalar L,Sökücü SN,Özdemir C,Büyükkale S,Altın S

doi

10.4187/respcare.03307

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

e11-3

issue

1

eissn

0020-1324

issn

1943-3654

pii

respcare.03307

journal_volume

60

pub_type

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