Massive hemoptysis from an aortobronchial fistula secondary to BCG-related mycotic thoracic aortic aneurysm

Dawn S. Hui; David A. Stoeckel; Erica E. Kaufman; Donald L. Jacobs

doi:10.1016/j.athoracsur.2015.03.053

Massive hemoptysis from an aortobronchial fistula secondary to BCG-related mycotic thoracic aortic aneurysm

Dawn S. Hui, David A. Stoeckel, Erica E. Kaufman, Donald L. Jacobs

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Intravesical bacillus Calmette-Guérin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed.

Original language	English (US)
Pages (from-to)	350-352
Number of pages	3
Journal	Annals of Thoracic Surgery
Volume	101
Issue number	1
DOIs	https://doi.org/10.1016/j.athoracsur.2015.03.053
State	Published - Jan 1 2016
Externally published	Yes

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Pulmonary and Respiratory Medicine
Surgery

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10.1016/j.athoracsur.2015.03.053

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title = "Massive hemoptysis from an aortobronchial fistula secondary to BCG-related mycotic thoracic aortic aneurysm",

abstract = "Intravesical bacillus Calmette-Gu{\'e}rin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed.",

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AU - Hui, Dawn S.

AU - Stoeckel, David A.

AU - Kaufman, Erica E.

AU - Jacobs, Donald L.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Intravesical bacillus Calmette-Guérin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed.

AB - Intravesical bacillus Calmette-Guérin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed.

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Massive hemoptysis from an aortobronchial fistula secondary to BCG-related mycotic thoracic aortic aneurysm

Abstract

ASJC Scopus subject areas

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