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Alfredo Trento
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Ann Thorac Surg 1985;39:254-256
© 1985 The Society of Thoracic Surgeons

Articles

Massive Hemoptysis in Patients with Cystic Fibrosis: Three Case Reports and a Protocol for Clinical Management

Alfredo Trento, M.D.*, Stephen M. Estner, M.D., Bartley P. Griffith, M.D., Robert L. Hardesty, M.D.

From the Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA

Accepted for publication May 24, 1984.

* Address reprint requests to Dr. Trento, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261

The clinical management of massive hemoptysis in patients with cystic fibrosis proceeds according to the following paradigm. The site of bleeding is identified by bronchoscopy, ideally under general anesthesia. Then selective bronchial arteriography is performed. If collaterals to the spinal cord are visualized, arterial embolization is abandoned and pulmonary resection is undertaken within the limits of pulmonary function.




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