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Medical Pneumonectomy: Interventional Bronchoscopic and Endovascular Management of Massive Hemoptysis Due to Pulmonary Artery Pseudoaneurysm, a Consequence of Endobronchial Brachytherapy

Mohit Chawla, MD; Todd Getzen, MD; Michael J. Simoff, MD
Author and Funding Information

From the Section of Interventional Pulmonology and Bronchoscopy, Division of Pulmonary and Critical Care Medicine, Department of Medicine (Drs. Chawla and Simoff), and Division of Interventional Radiology, Department of Radiology (Dr. Getzen), Henry Ford Hospital, Detroit, MI.

Correspondence to: Mohit Chawla, MD, Department of Medicine, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202; e-mail: chawlam1@mskcc.org


No conflict of interest exists for any of the authors.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;135(5):1355-1358. doi:10.1378/chest.08-2091
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Endobronchial brachytherapy serves as an excellent adjunct to standard external beam radiation therapy. The high dose of local radiation is still used to manage airway obstructions at some institutions, despite the well-known risks of airway fistulae to the esophagus or cardiovascular structures. A less reported complication is the development of a pulmonary artery pseudoaneurysm into the mainstem bronchi. The formation of an arterial pseudoaneurysm can lead to massive hemoptysis, which often is fatal. We present a case of massive hemoptysis due to this complication of brachytherapy managed entirely through bronchoscopic and endovascular techniques.

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