Lethal hemoptysis caused by biopsy injury of an abnormal bronchial artery.

Abstract:

:A 62-year-old man with a long history of lung disease developed atelectasis of the right middle lung lobe, caused by a protrusion in the wall of the middle lobe bronchus. A biopsy was performed in the suspicious region. This was immediately followed by massive arterial bleeding into the airways and complicated by cardiac arrest soon after. The bleeding could not be controlled by nonsurgical treatment; the patient died 24 h after the complication because of pulmonary insufficiency. Autopsy revealed the bleeding to have been caused by a biopsy injury of a bronchial artery that had run superficially in the bronchial mucosa and had produced the intrabronchial protrusion. Several other abnormal intrabronchial arteries were found peripherally in this lung.

journal_name

Chest

journal_title

Chest

authors

Maxeiner H

doi

10.1378/chest.119.5.1612

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

1612-5

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)39633-1

journal_volume

119

pub_type

杂志文章

相关文献

CHEST文献大全
  • From subclinical alveolitis to granulomatosis. Sequential evaluation of pulmonary involvement in extrathoracic sarcoidosis.

    abstract::Follow-up of patients with subclinical inflammatory alveolitis associated with systemic diseases may represent the best opportunity to study the mechanisms responsible for the development of interstitial lung disease. We report a seven-year sequential pulmonary evaluation of one patient with clinically isolated gastri...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.4.931

    authors: Dugas M,Wallaert B,Tonnel AB,Voisin C

    更新日期:1989-10-01 00:00:00

  • Dieulafoy's disease of the bronchus in association with a paravertebral neurilemoma.

    abstract::Dieulafoy's disease is a vascular anomaly characterized by the presence of a dysplastic artery that is related to an epithelial ulcer. While it is most frequently a GI condition, occurrence in the bronchus has been reported previously in six cases. We present the case of a 51-year-old man with severe hemoptysis and ep...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.1.292

    authors: Stoopen E,Baquera-Heredia J,Cortes D,Green L

    更新日期:2001-01-01 00:00:00

  • Safety of nitrate withdrawal in angina-free and hemodynamically stable patients with coronary artery disease.

    abstract:STUDY OBJECTIVES:To assess the consequences of nitrate withdrawal in angina-free and hemodynamically stable coronary patients. DESIGN:Prospective, open, intervention study. SETTING:Cardiology outpatient clinic of a university-affiliated municipal hospital. PATIENTS:Angina-free patients who were hemodynamically stabl...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0012-3692(15)33392-4

    authors: George J,Kitzis I,Zandorf D,Golovner M,Shapira I,Laniado S,Roth A

    更新日期:2003-11-01 00:00:00

  • Value of Doppler index combining systolic and diastolic myocardial performance in predicting cardiopulmonary exercise capacity in patients with congestive heart failure: effects of dobutamine.

    abstract:STUDY OBJECTIVE:Doppler-derived myocardial performance index (MPI), a measure of combined systolic and diastolic myocardial performance, was assessed at rest and after low-dose dobutamine administration in patients with idiopathic or ischemic dilated cardiomyopathy. MPI also was correlated with other conventional echoc...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.6.1935

    authors: Parthenakis FI,Kanakaraki MK,Kanoupakis EM,Skalidis EI,Diakakis GF,Filippou OK,Vardas PE

    更新日期:2002-06-01 00:00:00

  • Extracorporeal life support for status asthmaticus.

    abstract::Status asthmaticus is a life-threatening form of reactive airway disease, refractory to initial control with ordinary medical measures, sometimes requiring mechanical ventilatory assistance. In this report, we describe a patient whose bronchospasm could not be controlled with conventional measures, with severe respira...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.6.1651

    authors: Shapiro MB,Kleaveland AC,Bartlett RH

    更新日期:1993-06-01 00:00:00

  • Abnormal airway function in individuals with the acquired immunodeficiency syndrome.

    abstract::Pulmonary function test results of individuals with the acquired immunodeficiency syndrome (AIDS) were analyzed to determine the prevalence of abnormally low forced expiratory flow rates and bronchial hyperreactivity. Of 99 individuals with AIDS, a total of 44 (44 percent) had either low forced expiratory flow rates o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.5.945

    authors: O'Donnell CR,Bader MB,Zibrak JD,Jensen WA,Rose RM

    更新日期:1988-11-01 00:00:00

  • Screening by specialists to reduce unnecessary test ordering in patients evaluated for tuberculosis.

    abstract:STUDY OBJECTIVE:To determine if screening by specialists could reduce unnecessary test ordering and reduce costs related to diagnostic workup in patients undergoing evaluation for tuberculosis. DESIGN:Prospective evaluation of expert opinion in consecutive patients suspected of having tuberculosis. SETTING:A large mu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.3.681

    authors: Divinagracia RM,Harkin TJ,Bonk S,Schluger NW

    更新日期:1998-09-01 00:00:00

  • Usefulness of fine-needle aspiration biopsy of spleen in diagnosis of sarcoidosis.

    abstract::Fine-needle aspiration biopsy of the spleen was carried out in 557 patients. In 381 cases, the aspiration was performed because of suspected sarcoidosis. The sensitivity of the technique was 59 percent and the specificity 97 percent. The cytologic picture of the spleen was abnormal in 184 patients with sarcoidosis and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.2.193

    authors: Selroos O,Koivunen E

    更新日期:1983-02-01 00:00:00

  • Influence of maternal smoking on variability of peak expiratory flow rate in school children.

    abstract::Diurnal variability of peak expiratory flow rates (PEFRs) was assessed in 1,237 children. The PEFR was measured twice daily over a 1-week period. As an index of variability, the log of a week's mean of daily amplitude was calculated. Linear regression analyses revealed a significant positive association between matern...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.4.1133

    authors: Frischer T,Kühr J,Meinert R,Karmaus W,Urbanek R

    更新日期:1993-10-01 00:00:00

  • Threshold pressure training, breathing pattern, and exercise performance in chronic airflow obstruction.

    abstract::The effects of six weeks of threshold pressure inspiratory muscle training (IMT) on inspiratory muscle performance, breathing pattern and exercise performance were studied in eight patients with severe airflow obstruction. The results indicated that IMT improved inspiratory muscle performance but did not affect exerci...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.3.535

    authors: Flynn MG,Barter CE,Nosworthy JC,Pretto JJ,Rochford PD,Pierce RJ

    更新日期:1989-03-01 00:00:00

  • Transmission of Mycobacterium tuberculosis to a funeral director during routine embalming.

    abstract::Several studies have shown that funeral directors have an increased risk of tuberculosis (TB). Although there is indirect evidence of transmission of TB from cadavers to mortuary workers, there is only one recently documented case in the literature. We report here another case of occupationally acquired TB in a funera...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.2.640

    authors: Lauzardo M,Lee P,Duncan H,Hale Y

    更新日期:2001-02-01 00:00:00

  • Screening of pediatric sleep-disordered breathing: a proposed unbiased discriminative set of questions using clinical severity scales.

    abstract:BACKGROUND:Identification of sleep-disordered breathing (SDB) using questionnaires is critical from a clinical and research perspective. However, which questions to use and how well such questionnaires perform has thus far been fraught with substantial uncertainty. We aimed at delineating the usefulness of a set of que...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-3164

    authors: Spruyt K,Gozal D

    更新日期:2012-12-01 00:00:00

  • Cardiac disease in the wheezing child.

    abstract::Cardiac and pulmonary disease are so closely interrelated that it is often difficult to determine in young infants which is the primary offender. As illustrated in these case reports, failure to recognize the true nature of the disease process may lead to unnecessary procedures and delays which can be life-threatening...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.2.187

    authors: Moss AJ,McDonald LV

    更新日期:1977-02-01 00:00:00

  • Efficacy and Safety of Glycopyrrolate/Formoterol Metered Dose Inhaler Formulated Using Co-Suspension Delivery Technology in Patients With COPD.

    abstract:BACKGROUND:Long-acting muscarinic antagonist (LAMA)/long-acting β2-agonist (LABA) combinations are a treatment option for patients with COPD who continue to have symptoms despite treatment with a LAMA or a LABA alone. The Efficacy and Safety of PT003, PT005, and PT001 in Subjects with Moderate-to-Very Severe COPD (PINN...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.chest.2016.11.028

    authors: Martinez FJ,Rabe KF,Ferguson GT,Fabbri LM,Rennard S,Feldman GJ,Sethi S,Spangenthal S,Gottschlich GM,Rodriguez-Roisin R,Arora S,Siler TM,Siddiqui S,Darken P,Fischer T,Maes A,Golden M,Orevillo C,Reisner C

    更新日期:2017-02-01 00:00:00

  • Stenosis of main bronchi mimicking fixed upper airway obstruction in sarcoidosis.

    abstract::An unusual site and cause of disabling inspiratory and expiratory airflow limitation mimicking fixed upper airway obstruction is reported in two patients with sarcoidosis who had stenosis of almost the entire lengths of both main bronchi. The observed flows were consistent with a cross sectional airway diameter of 3 m...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.88.2.244

    authors: Miller A,Brown LK,Teirstein AS

    更新日期:1985-08-01 00:00:00

  • The relationship between left ventricular function assessed by multigated radionuclide test and cardiopulmonary exercise test in patients with ischemic heart disease.

    abstract:STUDY OBJECTIVES:To compare the oxygen pulse curve (O(2)P-C) as measured during cardiopulmonary exercise testing (CPET) with left ventricular (LV) ejection fraction (LVEF) rest-exercise response as measured by multigated equilibrium (99m)Tc radionuclide cineangiography (MUGA) in patients with different degrees of ische...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.3.841

    authors: Klainman E,Fink G,Lebzelter J,Krelbaumm T,Kramer MR

    更新日期:2002-03-01 00:00:00

  • Takayasu's arteritis associated with interstitial lung disease and glomerulonephritis.

    abstract::Takayasu's arteritis is a vasculitis characterized by inflammation and obliteration of large- and medium-sized arteries and has not been previously associated with interstitial pulmonary fibrosis. A patient with Takayasu's arteritis was shown to have interstitial pulmonary fibrosis and mesangial glomerulonephritis, su...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.4.605

    authors: Greene NB,Baughman RP,Kim CK

    更新日期:1986-04-01 00:00:00

  • Bone marrow-derived cells contribute to pulmonary vascular remodeling in hypoxia-induced pulmonary hypertension.

    abstract:STUDY OBJECTIVE:In these days, it was reported that bone marrow (BM) cells might take part in the remodeling of some systemic vascular diseases; however, it remains unknown whether the BM cells were involved in the vascular remodeling of pulmonary arteries and the progression of pulmonary hypertension (PH). The purpose...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.5.1793

    authors: Hayashida K,Fujita J,Miyake Y,Kawada H,Ando K,Ogawa S,Fukuda K

    更新日期:2005-05-01 00:00:00

  • Longterm favorable effect of oxygen administration on a patient with primary pulmonary hypertension.

    abstract::A 17-year-old girl with primary pulmonary hypertension was treated with longterm administration of oxygen. Oxygen was delivered only at night for eight hours daily. Her clinical status has been improved for more than 17 months. Cardiac catheterization revealed almost 50 percent reduction of pulmonary vascular resistan...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.3.299

    authors: Nagasaka Y,Akutsu H,Lee YS,Fujimoto S,Chikamori J

    更新日期:1978-09-01 00:00:00

  • Progressive portopulmonary hypertension after liver transplantation treated with epoprostenol.

    abstract::Portopulmonary hypertension (PPHTN) is an uncommon complication of advanced liver disease. Epoprostenol has been effective in the treatment of PPHTN and has been used as a bridge to orthotopic liver transplantation (OLT). The role of OLT in the reversal of PPHTN is unclear. We report a case of severe PPHTN (mean pulmo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.5.1497

    authors: Rafanan AL,Maurer J,Mehta AC,Schilz R

    更新日期:2000-11-01 00:00:00

  • Acceptance of CPAP therapy for sleep apnea.

    abstract::Although NCPAP is the most efficient nonsurgical treatment for patients with OSA, many patients do not accept sleeping with a nose mask. To determine the factors influencing acceptance, treatment with NCPAP was offered to 95 patients with an AHI greater than 15. After the first night on NCPAP, 47 of 65 patients decide...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.4.1019

    authors: Rauscher H,Popp W,Wanke T,Zwick H

    更新日期:1991-10-01 00:00:00

  • Is an abbreviated bronchial challenge with histamine valid?

    abstract::Investigators have validated an abbreviated protocol for testing nonspecific bronchial reactivity with methacholine. We performed a similar validation study with histamine, another bronchoprovocative agent known to induce airflow obstruction. Histamine is pharmacologically distinct from methacholine and, under some ci...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.101.1.141

    authors: Schmidt LE,Thorne PS,Watt JL,Schwartz DA

    更新日期:1992-01-01 00:00:00

  • Addition of inhaled tobramycin to ciprofloxacin for acute exacerbations of Pseudomonas aeruginosa infection in adult bronchiectasis.

    abstract:RATIONALE:Pseudomonas aeruginosa lung infection in patients with bronchiectasis, a chronic airway disease that is characterized by episodes of exacerbation, is associated with more severe disease and a higher utilization of health-care resources. Inhaled tobramycin solution reduces the number of acute exacerbations in ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.130.5.1503

    authors: Bilton D,Henig N,Morrissey B,Gotfried M

    更新日期:2006-11-01 00:00:00

  • Carcinomatous and tuberculous pleural effusions. Comparison of tumor markers.

    abstract::As an aid in the differential diagnosis of exudative pleural effusions, tumor markers were investigated. We measured immunosuppressive acidic protein (IAP), carbohydrate antigen 19-9 (CA 19-9), tissue polypeptide antigen (TPA), carcinoembryonic antigen (CEA), adenosine deaminase (ADA), and alpha 1-acid glycoprotein (A...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.87.3.351

    authors: Niwa Y,Kishimoto H,Shimokata K

    更新日期:1985-03-01 00:00:00

  • Long-term effects of nitrendipine on hemodynamics and oxygen transport in patients with cor pulmonale.

    abstract::Recent studies have suggested that vasodilators may acutely improve pulmonary hemodynamics in patients with chronic obstructive pulmonary disease and cor pulmonale, but the effects of long-term therapy have not been assessed. We evaluated the hemodynamic and gas exchange effects of nitrendipine, a calcium channel bloc...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.1.141

    authors: Rubin LJ,Moser K

    更新日期:1986-01-01 00:00:00

  • Bronchial hyperresponsiveness in asthmatic children. Correlation with macrophages and eosinophils in broncholavage fluid.

    abstract::Bronchial responsiveness assessed by histamine bronchial challenge testing in 22 children with chronic stable asthma was compared with the number of inflammatory cells per milliliter of broncholavage fluid obtained by fiberoptic bronchoscopy. Hyperresponsiveness was closely correlated with increased counts of eosinoph...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.5.988

    authors: Ferguson AC,Wong FW

    更新日期:1989-11-01 00:00:00

  • AIDS, public policy and biomedical research.

    abstract::The current epidemic of acquired immune deficiency syndrome (AIDS) raises numerous public policy concerns for the medical community. The issues can be divided into two groups. Those concerns which require both immediate action and results are referred to as short-term issues. Those issues whose results will not be for...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.3.416

    authors: Panem S

    更新日期:1984-03-01 00:00:00

  • The role of computer games in measuring spirometry in healthy and "asthmatic" preschool children.

    abstract:STUDY OBJECTIVES:To explore the role of respiratory interactive computer games in teaching spirometry to preschool children, and to examine whether the spirometry data achieved are compatible with acceptable criteria for adults and with published data for healthy preschool children, and whether spirometry at this age c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.3.1146

    authors: Vilozni D,Barak A,Efrati O,Augarten A,Springer C,Yahav Y,Bentur L

    更新日期:2005-09-01 00:00:00

  • The relationship between the components of pulmonary artery pressure remains constant under all conditions in both health and disease.

    abstract:BACKGROUND:The relationships among systolic pulmonary artery pressure (SPAP), diastolic pulmonary artery pressure (DPAP), and mean pulmonary artery pressure (MPAP) have been found to be constant in humans breathing air, at rest, while supine. It would be important for those studying the pulmonary circulation if this re...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1367

    authors: Syyed R,Reeves JT,Welsh D,Raeside D,Johnson MK,Peacock AJ

    更新日期:2008-03-01 00:00:00

  • Resolution of cardiac tamponade in systemic lupus erythematosus with indomethacin.

    abstract::Although in SLE pericarditis is common, cardiac tamponade is rare and its usual treatment has been effusion drainage. A 19-year-old girl presenting with cardiac tamponade was diagnosed with SLE. Treatment with indomethacin rapidly reduced the hemodynamic compromise, avoiding the need for pericardiocentesis. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.5.1193

    authors: Porcel JM,Selva A,Tornos MP,Galve E,Soler-Soler J

    更新日期:1989-11-01 00:00:00