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Right arrow Trachea and bronchi

Ann Thorac Surg 2003;75:1302-1304
© 2003 The Society of Thoracic Surgeons

Case report

Massive hemoptysis caused by tracheal hemangioma treated with interventional radiology

Antonio Ríos Zambudio, MDa*, Maria Jose Roca Calvo, PhDa, Juan Torres Lanzas, PhDa, J. García Medina, MDb, Pascual Parrilla Paricio, PhDa

a Department of Surgery, Thoracic Surgery Unit, Murcia, Spain
b Interventional Radiology Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain

Accepted for publication October 14, 2002.

* Address reprint requests to Dr Zambudio, Avenida de la Libertad No. 208, Casillas Murcia 30007, Spain
e-mail: arzrios{at}teleline.es

Capillary hemangiomas of the tracheobronchial tree are extremely rare in adults, with hemoptysis being one of the most serious forms of presentation. An operation has been the treatment of choice, although it does involve high rates of morbidity and mortality, especially in emergency situations such as massive hemoptysis, which has led to the search for other therapeutic alternatives. There is no experience with embolization by interventional radiology when the hemoptysis is tracheal in origin, caused partly because the infrequency of this pathology; however, the foundations for it have been laid with the development of embolization for bronchopulmonary pathology. We report a case of a tracheal capillary hemangioma in a 66-year-old woman diagnosed with idiopathic thrombopenic purpura, which began as a massive hemoptysis and was treated successfully with embolization by interventional radiology. There has been no recurrence of the bleeding after 1 year’s follow-up, and the patient’s control fibrobronchoscopy is normal.




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Recurrent cough and hemoptysis associated with tracheal capillary hemangioma in an adolescent boy: a case report.
J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1366 - 1367.
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