Stenting of the mainstem bronchus in children: A word of caution

被引:22
作者
Wells, WJ
Hussain, NS
Wood, JC
机构
[1] Childrens Hosp Los Angeles, Div Cardiothorac Surg, Los Angeles, CA 90027 USA
[2] Univ So Calif, Keck Sch Med, Div Cardiothorac Surg, Los Angeles, CA USA
[3] Univ So Calif, Keck Sch Med, Div Pediat Cardiol, Los Angeles, CA USA
关键词
14;
D O I
10.1016/S0003-4975(03)00893-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present two patients with critical hemorrhage following expandable metallic stenting of the left mainstem bronchus in children. Stent migration with erosion into a bronchial artery leading to mycotic pseudoaneurysm formation and overwhelming pulmonary hemorrhage occurred in both patients. One patient died from uncontrollable hemoptysis. The second patient was salvaged by left pneumonectomy and patch repair at the site of mycotic aortic rupture. Stenting of a mainstem bronchus, particularly in cyanotic children must be approached with extreme caution.
引用
收藏
页码:1420 / 1422
页数:3
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