Open AccessFlexible bronchoscopic argon plasma coagulation for management of massive hemoptysis in bronchial Dieulafoy's disease
Author(s) -
Karan Madan,
Ashesh Dhungana,
Vijay Hadda,
Anant Mohan,
Randeep Guleria
Publication year - 2017
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.197096
Subject(s) - argon plasma coagulation , medicine , bronchial artery , bronchoscopy , bronchus , angiodysplasia , surgery , lesion , radiology , pulmonologist , disease , embolization , endoscopy , respiratory disease , pathology , lung , intensive care medicine
Dieulafoy's disease is an uncommon condition, the usual site of occurrence being the gastrointestinal tract. The condition refers to the presence of a dysplastic submucosal artery with mucosal vascular branches that has propensity to cause recurrent bleeding. Dieulafoy's disease of the bronchus is rare. Herein, we describe the case of a 26-year-old male who presented with recurrent bouts of hemoptysis and bronchial Dieulafoy's disease was diagnosed. Flexible bronchoscopy was performed, and argon plasma coagulation (APC) of the bleeding lesion was done. The procedure was successful and was followed by complete eradication of the vascular malformation and cessation of hemoptysis. APC is a useful tool in the armamentarium of an interventional pulmonologist that can allow rapid and safe control of bleeding from superficially located and bleeding endobronchial lesions, and can be easily and effectively applied using a flexible bronchoscope.