Massive Hemoptysis From an Aortobronchial Fistula Secondary to BCG-Related Mycotic Thoracic Aortic Aneurysm

被引：15
|
作者：
Hui, Dawn S.
Stoeckel, David A.
Kaufman, Erica E.
Jacobs, Donald L.
机构：
[1] St Louis Univ, Sch Med, Ctr Comprehens Cardiovasc Care, St Louis, MO USA
[2] St Louis Univ, Sch Med, Dept Internal Med, Div Pulm Crit Care & Sleep Med, St Louis, MO USA
[3] Southern Illinois Healthcare, Carbondale, IL USA
[4] St Louis Univ, Sch Med, Dept Surg, Div Vasc Surg, St Louis, MO USA
来源：
ANNALS OF THORACIC SURGERY | 2016年 / 101卷 / 01期
关键词：
BACILLUS-CALMETTE-GUERIN; BLADDER-CANCER; COMPLICATION; THERAPY;
D O I：
10.1016/j.athoracsur.2015.03.053
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Intravesical bacillus Calmette-Guerin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed. (C) 2016 by The Society of Thoracic Surgeons
引用
收藏
页码：350 / 352
页数：4
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