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Bronchial hemorrhage

MedGen UID:
230828
•Concept ID:
C1321133
•
Pathologic Function
Synonyms: Bronchial bleeding; Bronchial Hemorrhage; Bronchopulmonary Hemorrhage
SNOMED CT: Bronchial hemorrhage (405541003)
 
HPO: HP:0033999

Definition

Bronchial hemorrhage is a focal bleeding located in the bronchial system. It can be diagnosed by tracheobronchoscopy. [from HPO]

Professional guidelines

PubMed

Characteristics, phenotypes, mechanisms and management of severe asthma.
Chung KF, Dixey P, Abubakar-Waziri H, Bhavsar P, Patel PH, Guo S, Ji Y
Chin Med J (Engl) 2022 May 20;135(10):1141-1155. doi: 10.1097/CM9.0000000000001990. PMID: 35633594Free PMC Article
2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.
Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC), Cloutier MM, Baptist AP, Blake KV, Brooks EG, Bryant-Stephens T, DiMango E, Dixon AE, Elward KS, Hartert T, Krishnan JA, Lemanske RF Jr, Ouellette DR, Pace WD, Schatz M, Skolnik NS, Stout JW, Teach SJ, Umscheid CA, Walsh CG
J Allergy Clin Immunol 2020 Dec;146(6):1217-1270. doi: 10.1016/j.jaci.2020.10.003. PMID: 33280709Free PMC Article
The Diagnosis and Treatment of Hemoptysis.
Ittrich H, Bockhorn M, Klose H, Simon M
Dtsch Arztebl Int 2017 Jun 5;114(21):371-381. doi: 10.3238/arztebl.2017.0371. PMID: 28625277Free PMC Article

Recent clinical studies

Etiology

Embolotherapy in Bronchial Hemorrhage.
Gupta A, Hadziomerovic A
Thorac Surg Clin 2021 Aug;31(3):323-332. Epub 2021 Jun 10 doi: 10.1016/j.thorsurg.2021.04.012. PMID: 34304841
Safety and yield of transbronchial biopsy in mechanically ventilated patients.
O'Brien JD, Ettinger NA, Shevlin D, Kollef MH
Crit Care Med 1997 Mar;25(3):440-6. doi: 10.1097/00003246-199703000-00012. PMID: 9118660
Cytologic and histologic examination of transbronchial lung biopsy.
Zellweger JP, Leuenberger PJ
Eur J Respir Dis 1982 Mar;63(2):94-101. PMID: 7067767
Bronchial artery embolization in cystic fibrosis; technique and long-term results.
Fellows KE, Khaw KT, Schuster S, Shwachman H
J Pediatr 1979 Dec;95(6):959-63. doi: 10.1016/s0022-3476(79)80283-8. PMID: 501500

Diagnosis

Idiopathic bronchial hemorrhage: a rare but catastrophic complication in cardiac surgery.
Uzuka T, Nakamura M, Nakajima T, Kusudoh S, Usubuchi H, Tanaka A, Watanabe N
J Cardiothorac Surg 2016 May 5;11(1):78. doi: 10.1186/s13019-016-0477-0. PMID: 27151155Free PMC Article
A case of severe hemoptysis after stereotactic body radiotherapy for peripherally located stage I non-small cell lung cancer.
Kimura K, Tomita N, Shimizu A, Sato Y, Makita C, Kodaira T
Jpn J Radiol 2015 Jun;33(6):370-4. Epub 2015 Apr 22 doi: 10.1007/s11604-015-0423-4. PMID: 25900415
Intrapulmonary teratoma.
Faria RA, Bizon JA, Saad Junior R, Dorgan Neto V, Botter M, Saieg MA
J Bras Pneumol 2007 Sep-Oct;33(5):612-5. doi: 10.1590/s1806-37132007000500019. PMID: 18026662
Safety and yield of transbronchial biopsy in mechanically ventilated patients.
O'Brien JD, Ettinger NA, Shevlin D, Kollef MH
Crit Care Med 1997 Mar;25(3):440-6. doi: 10.1097/00003246-199703000-00012. PMID: 9118660
Cytologic and histologic examination of transbronchial lung biopsy.
Zellweger JP, Leuenberger PJ
Eur J Respir Dis 1982 Mar;63(2):94-101. PMID: 7067767

Therapy

Idiopathic bronchial hemorrhage: a rare but catastrophic complication in cardiac surgery.
Uzuka T, Nakamura M, Nakajima T, Kusudoh S, Usubuchi H, Tanaka A, Watanabe N
J Cardiothorac Surg 2016 May 5;11(1):78. doi: 10.1186/s13019-016-0477-0. PMID: 27151155Free PMC Article
Extracorporeal membrane oxygenation for Swan-Ganz induced intraoperative hemorrhage.
Bianchini R, Melina G, Benedetto U, Rossi M, Fiorani B, Iasenzaniro M, Sinatra R
Ann Thorac Surg 2007 Jun;83(6):2213-4. doi: 10.1016/j.athoracsur.2007.01.023. PMID: 17532432
Safety and yield of transbronchial biopsy in mechanically ventilated patients.
O'Brien JD, Ettinger NA, Shevlin D, Kollef MH
Crit Care Med 1997 Mar;25(3):440-6. doi: 10.1097/00003246-199703000-00012. PMID: 9118660
Ventilatory management of massive bronchial hemorrhage by endobronchial high-frequency jet ventilation and continuous suctioning.
Hatano Y, Arai T, Komatsu K, Kabayama Y
Anesth Analg 1985 Jul;64(7):742-4. PMID: 4014736
Cytologic and histologic examination of transbronchial lung biopsy.
Zellweger JP, Leuenberger PJ
Eur J Respir Dis 1982 Mar;63(2):94-101. PMID: 7067767

Prognosis

Idiopathic bronchial hemorrhage: a rare but catastrophic complication in cardiac surgery.
Uzuka T, Nakamura M, Nakajima T, Kusudoh S, Usubuchi H, Tanaka A, Watanabe N
J Cardiothorac Surg 2016 May 5;11(1):78. doi: 10.1186/s13019-016-0477-0. PMID: 27151155Free PMC Article
Pulmonary metastasis of invasive thymoma, showing endobronchial polypoid growth: report of a case.
Kawaguchi Y, Hanaoka J, Teramoto K, Kitamura S, Hashimoto M, Kaku R, Ishida K, Asakura S
Surg Today 2014 Jul;44(7):1371-4. Epub 2013 Jul 31 doi: 10.1007/s00595-013-0678-2. PMID: 23900704
Bronchial artery embolization in cystic fibrosis; technique and long-term results.
Fellows KE, Khaw KT, Schuster S, Shwachman H
J Pediatr 1979 Dec;95(6):959-63. doi: 10.1016/s0022-3476(79)80283-8. PMID: 501500

Clinical prediction guides

A case of severe hemoptysis after stereotactic body radiotherapy for peripherally located stage I non-small cell lung cancer.
Kimura K, Tomita N, Shimizu A, Sato Y, Makita C, Kodaira T
Jpn J Radiol 2015 Jun;33(6):370-4. Epub 2015 Apr 22 doi: 10.1007/s11604-015-0423-4. PMID: 25900415
Late massive hemoptysis after transbronchial biopsy of hamartoma: an involvement of pulmonary artery and vein.
Iwata T, Inoue K, Nishiyama N, Izumi N, Mizuguchi S, Tsukioka T, Suehiro S
Ann Thorac Cardiovasc Surg 2007 Dec;13(6):400-2. PMID: 18292723
Swan-Ganz catheter-induced pseudoaneurysm of the pulmonary artery.
Utsumi T, Kido T, Ohata T, Yasukawa M, Takano H, Sakakibara T
Jpn J Thorac Cardiovasc Surg 2002 Aug;50(8):347-9. doi: 10.1007/BF03032630. PMID: 12229220

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