Medicine Advances (Jun 2024)

Sudden hemoptysis originating from spontaneous right bronchial artery bleeding during arterial duct closure in an adult patient with chronic myeloid leukemia

  • Diwen Li,
  • Tianli Zhao,
  • Xueyang Gong,
  • Yiliya Ahemaiti,
  • Luyao Wei,
  • Shijun Hu

DOI
https://doi.org/10.1002/med4.60
Journal volume & issue
Vol. 2, no. 2
pp. 195 – 198

Abstract

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Abstract Adult patients with patent ductus arteriosus (PDA) have a higher procedural risk during transcatheter PDA closures than infants and children. Limited information is available on transcatheter occlusion in patients with PDA and concomitant comorbidities such as leukemia. We report a case of a 32‐year‐old man with chronic myeloid leukemia who developed sudden hemoptysis during PDA catheter closure. Immediate treatment involved embolization of a bleeding bronchial artery with polyvinyl alcohol particles. The patient successfully underwent PDA closure and hematopoietic cell transplantation 3 months later. This case emphasizes the importance of evaluating fragile vasculature in patients with comorbid chronic diseases.

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