Key result
Embolectomy for chronic pulmonary embolism was followed 5 months later by sudden death with massive haemoptysis from a fistula between a pulmonary artery and main bronchus.
Case Report (n=1)
This case report describes a previously unreported fatal complication of a pulmonary artery-bronchial fistula causing massive haemoptysis 5 months post-embolectomy.
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Alerts clinicians to rare fatal fistula post-embolectomy; extends case reports on chronic PE complications but leaves open incidence and prevention.
tomy for recurrent pulmonary embolism, ' a number of patients have been described with significant pulmonary hypertension where clinical improvement associated with lowering of pulmonary artery pres-sure has followed removal of extensive, well-organised thrombo-embolic material from major pulmonary vessels.2 The following case history illustrates an unfavourable and highly unusual outcome in a patient with chronic pulmonary embolism complicated by severe, sustained pulmonary 'hypertension. Embolec-tomy was followed, five months later, by sudden death with massive haemoptysis from a fistula be-|X tween a pulmonary artery and main bronchus, a complication not previously reported. l _ _ Case report
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Jesse Elliott (1980) conducted a case report in Chronic pulmonary embolism complicated by severe, sustained pulmonary hypertension (n=1). Embolectomy was evaluated on Sudden death with massive haemoptysis from a fistula between a pulmonary artery and main bronchus. Embolectomy for chronic pulmonary embolism was followed 5 months later by sudden death with massive haemoptysis from a fistula between a pulmonary artery and main bronchus.
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