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Severe haemoptysis due to subclavian arteritis
A Lioulias1, P Misthos, J Kokotsakis
1Thoracic Surgery Department, Sismanogleio General Hospital, Athens, Greece.
Cardiovascular Journal of Africa
|June 27, 2012
Summary
Severe hemoptysis from infected subclavian arteritis is rare. This case details a mycotic pseudoaneurysm eroding into the lung, successfully treated with surgical resection and vein grafting.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Thoracic Medicine
Background:
- Infective arteritis, particularly of the subclavian artery, is an uncommon condition.
- Erosion into adjacent lung parenchyma leading to hemoptysis is a rare complication.
Observation:
- A patient presented with severe hemoptysis and high fever.
- Imaging revealed a large intraparenchymal mycotic pseudoaneurysm in the left lung apex.
- The pseudoaneurysm was secondary to infective subclavian arteritis.
Findings:
- Surgical intervention via left lateral thoracotomy was performed.
- The affected segment of the subclavian artery was resected.
- Vascular continuity was restored using a reversed saphenous vein graft.
Implications:
- This case highlights a novel presentation of infective subclavian arteritis.
- Successful surgical management of this rare complication is demonstrated.
- Early diagnosis and intervention are crucial for favorable outcomes in patients with severe hemoptysis from vascular erosion.
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