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[Destroyed lung (author's transl)].

M F Carette, F Blanchon, B Milleron

    La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
    |May 8, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    Destroyed lungs result from severe lung infections like tuberculosis, often leading to respiratory issues years later. Treatment may involve surgery or embolization for complications such as hemoptysis.

    Area of Science:

    • Pulmonology
    • Infectious Diseases
    • Radiology

    Background:

    • "Destroyed lung" describes severe lung damage from infections, primarily tuberculosis and suppurations.
    • These conditions, though often treated, can leave significant long-term sequelae.

    Observation:

    • Destroyed lungs may be asymptomatic initially but can manifest as dyspnea, respiratory insufficiency, and hemoptysis years post-infection.
    • Radiologically, they present as opacities with single or multiple cavities.
    • Recent understanding reveals hemoptysis mechanisms involve systemic circulation developing within destructive lung lesions.

    Findings:

    • Tuberculosis and pulmonary suppurations are primary causes of destroyed lungs.
    • Complications include irreversible respiratory insufficiency and hemoptysis, with aspergillosis increasing risk.

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  • The development of systemic-pulmonary anastomoses in damaged lung tissue explains hemoptysis.

    • Implications:

    • Management strategies range from surgical interventions to less invasive bronchial artery embolization for hemoptysis.
    • Acquired destroyed lungs share clinical and therapeutic similarities with congenital pseudokystic bronchiectases.