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Ann Thorac Surg 2007;84:2085-2086. doi:10.1016/j.athoracsur.2007.07.005
© 2007 The Society of Thoracic Surgeons
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Case Reports

Massive Hemoptysis in an Immunocompromised Pregnant Woman With Human Immunodeficiency Virus Disease and Active Pulmonary Tuberculosis

David F. Blyth, FRCSEda,*, Mahomed A. Soni, MB ChBa, Neil F. Moran, FCOGb

a Department of Cardiothoracic Surgery, Wentworth Hospital, Nelson R. Mandela School of Medicine, Durban, South Africa
b Division of Cardiothoracic Anaesthesia, Wentworth Hospital, Nelson R. Mandela School of Medicine, Durban, South Africa
c Department of Obstetrics and Gynaecology, Wentworth Hospital, Nelson R. Mandela School of Medicine, Durban, South Africa

Accepted for publication July 3, 2007.

* Address correspondence to Dr Blyth, Department of Cardiothoracic Surgery, Inkosi Albert Luthuli Central Hospital, PB X03, Mayville, 4058, South Africa (Email: blyth{at}worldonline.co.za).

Massive hemoptysis during pregnancy has been infrequently reported. The management of massive hemoptysis in an immunocompromised 22-year-old woman positive for human immunodeficiency virus undergoing treatment for cavitating pulmonary tuberculosis in the last trimester of pregnancy is reported. The difficulties encountered in applying our standard protocol for massive hemoptysis in this instance are described. The patient was managed by emergency cesarean section and lobectomy.






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