Recurrent Hemoptysis in Patient with Primary Pulmonary Hypertension – A Case Report and Literature Review

https://doi.org/10.22146/aci.29703

Indra Widya Nugraha(1*), Bambang Irawan(2), Lucia Kris Dinarti(3)

(1) Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia
(2) Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia
(3) Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Pulmonary hypertension (PH) is defned as an increase in mean pulmonary arterial pressure (mPAP) ≥ 25 mmHg at rest as assessed by right heart catheterization (RHC). The symptoms of PH are non-specifc and mainly related to progressive right ventricular (RV) dysfunction. In some patients the clinical presentation may be related to mechanical complications of PH and
the abnormal distribution of blood flow in the pulmonary vascular bed, include hemoptysis related to rupture of hypertrophied bronchial arteries. Hemoptysis is a serious complication that is rarely reported in patients with pulmonary arterial hypertension (PAH). Hemoptysis severity ranges from mild to very severe leading tosudden death. Hemoptysis are reported to be a terminal stage of
a complication due to PAH with prevalence is variable, from 1% to 6%. Although the incidence is quite rare, the presence of recurrent hemoptysis in patients with pulmonary hypertension is a sign of poor prognosis. Bronchial artery embolization is suggested as an acute emergency procedure in the case of severe hemoptysis or as elective intervention in cases of frequent mild or moderate episodes.

 


Keywords


pulmonary hypertension; hemoptysis; bronchial artery embolization

Full Text:

PDF



DOI: https://doi.org/10.22146/aci.29703

Article Metrics

Abstract views : 658 | views : 1563

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Acta Cardiologia Indonesiana

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



ACI (Acta Cardiologia Indonesiana) is indexed by: 

   

  

ACI (Acta Cardiologia Indonesiana) is published by:

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Address: Radiopoetro Building 2nd Floor, West Wing, Farmako Street, Sekip, Yogyakarta, Indonesia 55281

ACI (Acta Cardiologia Indonesiana) is endorsed by: