PDF(Pubmed)
Abstract：
\"Hemoptysis\" refers to the expectoration of blood from the respiratory tract. However, \"life-threatening hemoptysis\" includes any volume that leads to features such as airway obstruction, hypoxia, or hemodynamic instability. We present a case of life-threatening hemoptysis in a 65-year-old male with a history of benign prostatic hyperplasia and uncontrolled hypertension. Radiological investigations revealed a pseudo-aneurysm at the site of a prior thoracic aortic coarctation repair more than 50 years prior in childhood. He required vascular surgical intervention, during which there was evidence of an aorta-bronchial fistula as the likely cause of bleeding. Following the repair and optimal blood pressure control, the patient had no further episodes of hemoptysis and was discharged from the hospital. His case not only adds to the growing body of medical literature reporting hemoptysis as a complication of coarctation repair but also highlights the aorto-bronchial fistula as a possible and potentially catastrophic mechanism for bleeding in these patients.
摘要：
“咯血”是指从呼吸道咳出的血液。然而,“危及生命的咯血”包括导致气道阻塞等特征的任何体积，缺氧,或血流动力学不稳定。我们介绍了一例65岁的男性，有良性前列腺增生和不受控制的高血压病史，发生危及生命的咯血。放射学检查显示，在童年时期50多年前，先前的胸主动脉缩窄修复部位存在假性动脉瘤。他需要血管外科手术,在此期间，有证据表明主动脉-支气管瘘可能是出血的原因。在修复和最佳血压控制之后，患者没有进一步的咯血发作，已出院。他的病例不仅增加了越来越多的医学文献报道咯血是缩窄修复的并发症，而且还强调了主动脉支气管瘘是这些患者出血的可能且潜在的灾难性机制。
