Lung Isolation And Embolization In Pulmonary Hemorrhage Secondary To Aspergillus Pneumonia
61 year old female was admitted to the ICU for acute hypoxic respiratory failure secondary to ARDS requiring mechanical ventilation. Patient was diagnosed with Aspergillus pneumonia. On hospital day 3, the patient developed increased ventilatory requirements, and spontaneously began bleeding from her endotracheal tube. Bronchoscopy revealed bleeding from the left-upper lung requiring right mainstem intubation. She was taken acutely to IR for embolization of bronchial arteries. Patient was extubated on hospital day 26 and transferred to rehabilitation on hospital day 42. This case highlights the sequela of aspergillus pneumonia, role of lung isolation, and utility of IR embolization.
Nowatzke R, Chokr M, Asbahi M. Lung isolation and embolization in pulmonary hemorrhage secondary to aspergillus pneumonia. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.