A novel approach to the diagnosis and treatment of hemoptysis in infants: A case series.

Pediatric Pulmonology
Syed Javed H ZaidiJaveed Akhter

Abstract

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. 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. 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 blee...Continue Reading

References

Oct 15, 1987·Hospital Practice·N L Turcios, M Vega
Jul 1, 1996·The Annals of Otology, Rhinology, and Laryngology·J W ThompsonK Van Nguyen
Apr 3, 1998·Pediatrics·J A Coss-BuL S Jefferson
Dec 24, 1997·The Journal of Pediatrics·R D ShaughnessyR W McDonald
Feb 24, 2001·The Laryngoscope·J D SidmanG B Wright
Nov 15, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Woong YoonHeoung Keun Kang
Dec 29, 2004·The Annals of Thoracic Surgery·Kenji SudaTetsuko Ishii
Jan 19, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·John F BruzziJacques Rémy
Feb 15, 2008·The Canadian Journal of Cardiology·Elisabeth BédardJosep Rodés-Cabau
Jun 3, 2008·Paediatric Respiratory Reviews·Derek J Roebuck, Alex M Barnacle
Oct 8, 2009·Circulation. Cardiovascular Imaging·Andrew J Powell
Jan 9, 2010·Cardiovascular and Interventional Radiology·Joo-Young ChunAnna-Maria Belli
Mar 2, 2012·Seminars in Interventional Radiology·David R Sopko, Tony P Smith
Apr 3, 2013·Pediatric Emergency Care·Jaime Kaye OtillioM Olivia Titus
May 9, 2014·Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology·Anna Rita LariciLorenzo Bonomo
Feb 14, 2016·Archivos de bronconeumología·Rosa CordovillaRafael Jiménez Merchán
Aug 9, 2017·Case Reports in Cardiology·Hannah S KimShabana Shahanavaz

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
lavage
bronchoalveolar lavage

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

The American Journal of Emergency Medicine
Adam P Dine, Sandra L Werner
Cardiovascular and Interventional Radiology
N M HickeyF M Shamji
Pediatric Emergency Care
Jaime Kaye OtillioM Olivia Titus
© 2022 Meta ULC. All rights reserved