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Journal of Cardiothoracic Surgery

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Open Access 01-12-2014 | Case report

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Authors: Yu Fang, Qingchen Wu, Bin Wang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

Abstract

Background

Dieulafoy’s disease is a vascular anomaly characterized by the presence of a tortuous dysplastic artery in the submucosa. Although frequently occurring in the gastrointestinal tract, multiple cases of Dieulafoy’s disease in the bronchus have been reported in the literature.

Methods and results

We report a case of a 15-year-old boy suffering recurrent massive hemoptysis. Bilobectomy stopped bleeding after unsuccessful treatment with embolization of bronchial artery.

Conclusion

It is concluded a congenital origin of this disease. Angiography and endobronchial ultrasonography can be used to diagnose Dieulafoy’s disease of bronchus whereas bronchoscopy biopsy should be avoided. Surgery is needed when embolization fails.

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Kuzucu A, Gurses I, Soysal O, Kutlu R, Ozgel M: Dieulafoy's disease: a cause of massive hemoptysis that is probably underdiagnosed. Ann Thorac Surg. 2005, 80: 1126-1128. 10.1016/j.athoracsur.2004.02.118.CrossRefPubMed

Stoopen E, Baquera-Heredia J, Cortes D, Green L: Dieulafoy's disease of the bronchus in association with a paravertebral neurilemoma. Chest. 2001, 119: 292-294. 10.1378/chest.119.1.292.CrossRefPubMed

Pomplun A, Sheaff TM: Dieulafoy's diease of the bronchus:an uncommon entity. Histopathology. 2005, 43: 587-599.

Bhatia P, Hendy MS, Li-Kam-Wa E, Bowyer PK: Recurrent embolotherapy in Dieulafoy's disease of the bronchus. Can Respir J. 2003, 10: 331-333.CrossRefPubMed

Loschhorn C, Nierhoff N, Mayer R, Zaunbauer W, Neuweiler J, Knoblauch A: Dieulafoy's disease of the lung: a potential disaster for the bronchoscopist. Respiration. 2006, 73: 562-565. 10.1159/000088059.CrossRefPubMed

Sweerts M, Nicholson AG, Goldstraw P, Corrin B: Dieulafoy's disease of the bronchus. Thorax. 1995, 50: 697-698. 10.1136/thx.50.6.697.CrossRefPubMedPubMedCentral

van der Werf TS, Timmer A, Zijlstra JG: Fatal haemorrhage from Dieulafoy's disease of the bronchus. Thorax. 1999, 54: 184-185. 10.1136/thx.54.2.184.CrossRefPubMedPubMedCentral

Maxeiner H: Lethal hemoptysis caused by biopsy injury of an abnormal bronchial artery. Chest. 2001, 119: 1612-1615. 10.1378/chest.119.5.1612.CrossRefPubMed

Kolb T, Gilbert C, Fishman EK, Terry P, Pearse D, Feller-Kopman D, Yarmus L: Dieulafoy's disease of the bronchus. Am J Respir Crit Care Med. 2012, 186: 1191-10.1164/rccm.201206-1016IM.CrossRefPubMed

10.

Barisione EE, Ferretti GG, Ravera SS, Salio MM. Dieulafoy's disease of the bronchus: a possible mistake. 2012/11/10 edn, 2012.

11.

D'Souza F, Sharma R: Dieulafoy's disease of the bronchus. Pathology. 2010, 42: 683-684. 10.3109/00313025.2010.523687.CrossRefPubMed

12.

Xie BS, Chen YS, Lin MF, Huang QH, Lin ZS: [Dieulafoy's disease of the bronchus: a case report and review of the literature]. Zhonghua Jie He He Hu Xi Za Zhi. 2006, 29: 801-803.PubMed

13.

Yang RH, Li JF, Liu J, Sun KK, Cao ZL, Gao ZC: [Dieulafoy disease of the bronchus: 3 cases report with literature review]. Zhonghua Jie He He Hu Xi Za Zhi. 2013, 36: 577-580.PubMed

14.

Bruzzi JF, Remy-Jardin M, Delhaye D, Teisseire A, Khalil C, Remy J: Multi-detector row CT of hemoptysis. Radiographics. 2006, 26: 3-22. 10.1148/rg.261045726.CrossRefPubMed

15.

Yoon W, Kim JK, Kim YH, Chung TW, Kang HK: Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002, 22: 1395-1409. 10.1148/rg.226015180.CrossRefPubMed

16.

McCullagh A, Rosenthal M, Wanner A, Hurtado A, Padley S, Bush A: The bronchial circulation–worth a closer look: a review of the relationship between the bronchial vasculature and airway inflammation. Pediatr Pulmonol. 2010, 45: 1-13. 10.1002/ppul.21135.CrossRefPubMed

17.

Beasley R, Roche WR, Roberts JA, Holgate ST: Cellular events in the bronchi in mild asthma and after bronchial provocation. Am Rev Respir Dis. 1989, 139: 806-817. 10.1164/ajrccm/139.3.806.CrossRefPubMed

18.

Laitinen A, Laitinen LA, Moss R, Widdicombe JG: Organisation and structure of the tracheal and bronchial blood vessels in the dog. J Anat. 1989, 165: 133-140.PubMedPubMedCentral

19.

Lin Y, Chen Z, Yang X, Zhong Q, Zhang H, Yang L, Xu S, Li H: Bronchial and non-bronchial systemic arteries: value of multidetector CT angiography in diagnosis and angiographic embolisation feasibility analysis. J Med Imaging Radiat Oncol. 2013, 57: 644-651. 10.1111/1754-9485.12058.CrossRefPubMed

20.

Barisione EE, Ferretti GG, Ravera SS, Salio MM: Dieulafoy's disease of the bronchus: a possible mistake. Multidiscip Respir Med. 2012, 7: 40-10.1186/2049-6958-7-40.CrossRefPubMedPubMedCentral

21.

Loschhorn C, Knoblauch A: Reply to 'Dieulafoy's disease of the lung: a potential disaster for the bronchoscopist'. Respiration. 2007, 74: 120-CrossRefPubMed

Title: Dieulafoy’s disease of the bronchus: report of a case and review of the literature
Authors: Yu Fang
Qingchen Wu
Bin Wang
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-014-0191-8

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Springer Medicine

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Abstract

Background

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods and results

Conclusion

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