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Title: Myocardial Infarction as a Complication of Bronchial Artery Embolization

Abstract

Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old man who developed an ST elevation myocardial infarction during bronchial artery embolization, presumably because of coronary embolism by injected particles. In this patient who had no previously known coronary artery disease, we retrospectively found a communication between the left bronchial artery and the circumflex coronary artery. This fistula was not visible on the initial angiographic view and likely opened because of the hemodynamic changes resulting from the embolization. This case advocates for careful search for bronchial-to-coronary arterial fistulas and the need for repeated angiographic views during embolization procedures.

Authors:
 [1];  [2];  [3];  [2]
  1. Université Laval, Department of Medicine (Canada)
  2. Université Laval, Department of Emergency Medicine (Canada)
  3. Université Laval, Department of Anesthesiology and Critical Care Medicine (Canada)
Publication Date:
OSTI Identifier:
22645311
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 3; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CHEST; CORONARIES; MYOCARDIAL INFARCTION; PAIN; PATIENTS; VASCULAR DISEASES

Citation Formats

Labbé, Hugo, E-mail: hugo.labbe.1@ulaval.ca, Bordeleau, Simon, Drouin, Christine, and Archambault, Patrick. Myocardial Infarction as a Complication of Bronchial Artery Embolization. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1508-X.
Labbé, Hugo, E-mail: hugo.labbe.1@ulaval.ca, Bordeleau, Simon, Drouin, Christine, & Archambault, Patrick. Myocardial Infarction as a Complication of Bronchial Artery Embolization. United States. doi:10.1007/S00270-016-1508-X.
Labbé, Hugo, E-mail: hugo.labbe.1@ulaval.ca, Bordeleau, Simon, Drouin, Christine, and Archambault, Patrick. Wed . "Myocardial Infarction as a Complication of Bronchial Artery Embolization". United States. doi:10.1007/S00270-016-1508-X.
@article{osti_22645311,
title = {Myocardial Infarction as a Complication of Bronchial Artery Embolization},
author = {Labbé, Hugo, E-mail: hugo.labbe.1@ulaval.ca and Bordeleau, Simon and Drouin, Christine and Archambault, Patrick},
abstractNote = {Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old man who developed an ST elevation myocardial infarction during bronchial artery embolization, presumably because of coronary embolism by injected particles. In this patient who had no previously known coronary artery disease, we retrospectively found a communication between the left bronchial artery and the circumflex coronary artery. This fistula was not visible on the initial angiographic view and likely opened because of the hemodynamic changes resulting from the embolization. This case advocates for careful search for bronchial-to-coronary arterial fistulas and the need for repeated angiographic views during embolization procedures.},
doi = {10.1007/S00270-016-1508-X},
journal = {Cardiovascular and Interventional Radiology},
number = 3,
volume = 40,
place = {United States},
year = {Wed Mar 15 00:00:00 EDT 2017},
month = {Wed Mar 15 00:00:00 EDT 2017}
}