RT Journal Article
SR Electronic
T1 Endobronchial Argon Plasma Coagulation for Treatment of Dieulafoy Disease
JF Respiratory Care
FD American Association for Respiratory Care
SP respcare.03307
DO 10.4187/respcare.03307
A1 Dalar, Levent
A1 Sökücü, Sinem N
A1 Özdemir, Cengiz
A1 Büyükkale, Songül
A1 Altın, Sedat
YR 2014
UL http://rc.rcjournal.com/content/early/2014/08/26/respcare.03307.abstract
AB Dieulafoy disease of the bronchus is a rare condition. A 28-y-old male patient with recurrent exacerbations of hemoptysis (producing up to 300 mL) over the previous 4 y was admitted to our hospital following an acute episode. A 3-mm sessile lesion covered with somewhat ulcerated smooth mucosa was detected at the distal end of the left main bronchus, at the entrance to the upper lobe bronchus. Bleeding was controlled by argon plasma coagulation, and total coagulation of the lesion was also therapeutic. The patient has been followed for 2 y with no further bleeding. In the very few reported cases of Dieulafoy disease, surgical resection and selective embolization were the treat-ments used. Endobronchial treatment has not been described before as a therapeutic approach. We emphasize that argon plasma coagulation can be a treatment option in such cases.