AI Article Synopsis
- Behçet's disease is an inflammatory condition that can cause complications like pulmonary artery aneurysms, which may lead to severe bleeding in the lungs (massive hemoptysis).
- A patient with this disease received coil embolization to stop the bleeding, which was initially successful. However, two months later, she experienced ongoing cough and discomfort due to partial migration of the coil into her airways.
- The case highlights that while endovascular treatment is effective, patients with Behçet's disease may face higher risks of complications like coil erosion and migration because of ongoing inflammation and long-term steroid use.
Article Abstract
Behçet's disease is an inflammatory vasculitis with the unique feature of pulmonary artery aneurysms. We describe a patient with Behçet's disease and pulmonary artery aneurysms who presented with massive hemoptysis treated by coil embolization. Although there was immediate resolution of hemoptysis and improvement in hemodynamic status, 2 months later the patient reported a refractory cough and feeling of foreign body in her throat. Imaging demonstrated partial coil migration into the bronchus and trachea. Although endovascular intervention is the first-line treatment for massive hemoptysis, in patients with Behçet's disease, active inflammation and chronic steroid use may increase the risk of coil erosion and migration.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989708 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2022.02.006 | DOI Listing |
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