Emergency lobectomy for massive hemoptysis in cystic fibrosis

Massive hemoptysis occurs in 50% to 70% of patients with cystic fibrosis and carries an immediate mortality of up to 32%. Cystic fibrosis is regarded by many as a disease in which thoracic operations are ill-advised. A 21-year-old woman with mild cystic fibrosis presented with unrelenting massive he...

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Bibliographic Details
Published inThe Journal of thoracic and cardiovascular surgery Vol. 86; no. 3; pp. 409 - 411
Main Authors Porter, DK, Van Every, MJ, Mack, JW, Jr
Format Journal Article
LanguageEnglish
Published Philadelphia, PA AATS/WTSA 01.09.1983
Elsevier
Subjects
Adult
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Cystic Fibrosis - complications
Emergencies
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hemoptysis - complications
Hemoptysis - surgery
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Lung - surgery
Medical sciences
Other diseases. Semiology
Pseudomonas aeruginosa - isolation & purification
Pseudomonas Infections - drug therapy
Respiratory Function Tests
Sputum - microbiology
Hemoptysis
Mucoviscidosis
Emergency
Lobectomy
Surgery
Lung
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Summary:Massive hemoptysis occurs in 50% to 70% of patients with cystic fibrosis and carries an immediate mortality of up to 32%. Cystic fibrosis is regarded by many as a disease in which thoracic operations are ill-advised. A 21-year-old woman with mild cystic fibrosis presented with unrelenting massive hemoptysis, was not helped by medical management, and underwent a successful left upper lobectomy. We suggest that thoracotomy does have a role in the management of massive hemoptysis in selected patients with cystic fibrosis. On the basis of our case and all other cases reported in the English literature, we suggest criteria for determining which patients are suitable candidates for emergency thoracotomy.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0022-5223
1097-685X
DOI:10.1016/s0022-5223(19)39154-8