Bronchial artery embolization combined with left pulmonary resection in the treatment of fibrosing mediastinitis complicated with massive hemoptysis: a case report

Fibrosing mediastinitis (FM) is a rare and benign fibroproliferative disease that presents with the proliferation of extensive, dense fibrous tissue in the mediastinum. Hemoptysis is a common clinical manifestation of FM. Clinically, most patients exhibit mild to moderate hemoptysis. We report a cas...

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Published inFrontiers in medicine Vol. 11
Main Authors Liu, Min, Liu, Jixiang, Chen, Shi, Gao, Xiaoyan, Sun, Lu, Li, Fajiu, Li, Chenghong
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 26.09.2024
Subjects
case report
fibrosing mediastinitis
massive hemoptysis
multimodal therapy
surgical intervention
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Summary:Fibrosing mediastinitis (FM) is a rare and benign fibroproliferative disease that presents with the proliferation of extensive, dense fibrous tissue in the mediastinum. Hemoptysis is a common clinical manifestation of FM. Clinically, most patients exhibit mild to moderate hemoptysis. We report a case of FM complicated with life-threatening massive hemoptysis. The patient was successfully rescued through a combination of bronchoscopic balloon closure, bronchial artery embolization (BAE), and surgical interventions. Although FM is frequently benign, vascular involvement can progress to life-threatening massive hemoptysis and must be treated appropriately.
ISSN:2296-858X
2296-858X
DOI:10.3389/fmed.2024.1418105