A novel approach to the diagnosis and treatment of hemoptysis in infants: A case series
| Autor: | Dhaval Patel, Alexander Javois, Lorene Schweig, Javeed Akhter, S. Javed Zaidi |
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| Rok vydání: | 2018 |
| Předmět: |
Heart Defects
Congenital Male Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Heart disease collateral vessels medicine.medical_treatment Diagnostic Testing 030204 cardiovascular system & hematology coil embolization 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Bronchoscopy Recurrence medicine Humans Embolization Original Article: Diagnostic Testing Retrospective Studies Cardiac catheterization Mechanical ventilation cardiac catheterization Respiratory distress medicine.diagnostic_test infants business.industry Infant Original Articles aorto‐pulmonary medicine.disease Surgery Pediatrics Perinatology and Child Health Female Pulmonary hemorrhage Differential diagnosis business |
| Zdroj: | Pediatric Pulmonology |
| ISSN: | 8755-6863 |
| DOI: | 10.1002/ppul.24160 |
| Popis: | Introduction Hemoptysis in children is an uncommon presenting symptom but can be life‐threatening if massive. Cardiac catheterization and coil embolization of aorto‐pulmonary collateral vessels (APCs) is uncommon in pediatric hemoptysis patients without congenital heart disease. Methods We present a series of seven infants (≤12 months of age) with hemoptysis, all of whom underwent cardiac catheterization to look for and intervene upon APCs, if found. Only those patients who underwent both bronchoscopy as well as cardiac catheterization from January 1995 to January 2015 were included in this retrospective review. Results Seven patients met inclusion criteria, and three had a history of recurrent hemoptysis. The mean age was 3 months. Four had evidence of bleeding on bronchoscopy. All seven had respiratory distress which necessitated ICU admission; five required mechanical ventilation. Cardiac catheterization showed significant APCs (>2 mm) in six of the seven studied patients, all of which were coil embolized. One patient had no significant APCs and therefore, no embolization. All patients had complete resolution with no recurrences during the 10‐20‐year outpatient follow‐up period. Chest CT scans were not helpful in delineating the site or etiology of bleeding in any patient. Conclusions APCs should be considered as a differential diagnosis for pulmonary hemorrhage in infants after more common causes have been ruled out. |
| Databáze: | OpenAIRE |
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