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Case Report
Management of an intercostal-pulmonary artery fistula in the setting of massive hemoptysis
1 MD, Resident, Department of Surgery, Riverside Methodist Hospital, Columbus, OH, USA
2 MD, Cardiothoracic Surgeon, Department of Surgery, Riverside Methodist Hospital, Columbus, OH, USA
Address correspondence to:
Danielle Hery
MD, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214,
USA
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Article ID: 100112Z06EG2022
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Ghazoul E, Hery D, Wu J, Kim W. Management of an intercostal-pulmonary artery fistula in the setting of massive hemoptysis. Case Rep Int 2022;11(2):20–24.ABSTRACT
Introduction: Intercostal artery to pulmonary artery fistulas is exceptionally rare. The few cases reported in the literature are often found in asymptomatic patients, but this physiology can result in massive hemoptysis and subsequent respiratory failure secondary to aspiration.
Case Report: A male in his 40s presented to our tertiary community hospital with massive hemoptysis and a known diagnosis of Mycobacterium szulgai; his past surgical history was pertinent for a coronary artery bypass with chest tube placement four years prior to his presentation and for remote pneumothoraces bilaterally. Angiography identified a fistulous connection between multiple intercostal artery trunks to a right upper lobe pulmonary artery that was coil embolized, successfully resolving his hemoptysis.
Conclusion: This case report investigates a potential complication of those in an active inflammatory state, such as a mycobacterium infection, and the opportunity for minimally invasive treatment for those with massive hemoptysis.
Keywords: Fistula, Hemoptysis, Mycobacterium szulgai, Pulmonary artery
SUPPORTING INFORMATION
Author Contributions
Erika Ghazoul - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Danielle Hery - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jin Wu - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Wesley Kim - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Erika Ghazoul et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
