Successful Transcatheter Arterial Embolization due to Massive Hemoptysis in a Metastatic Lung Cancer Patient with Tumoral Blood Supply from the Inferior Phrenic Artery: A Case Report

Abstract

Cases of inferior phrenic artery hemorrhage and those complicated by massive hemoptysis have been rarely reported. A 17-year-old man presented to our hospital with a chief complaint of hemoptysis weakness and confusion. The patient had history of surgery for synovial sarcoma. Additionally the patient has metastatic right lung mass. CT Angiography examination revealed hemorrhage in the inferior phrenic artery feeding the metastatic lung mass. We present a rare case of right lower phrenic artery rupture, which was successfully treated using TAE and the patient had no complaints after embolization.

Keywords

• inferior phrenic artery
• lung metastases
• massive hemoptysis

Successful Transcatheter Arterial Embolization due to Massive Hemoptysis in a Metastatic Lung Cancer Patient with Tumoral Blood Supply from the Inferior Phrenic Artery: A Case Report

Abstract

İnferior frenik arter kanaması ve buna sekonder masif hemoptizi komplikasyonuyla ilişkili vakalar nadiren bildirilmiştir. 17 yaşında erkek hasta hemoptizi, halsizlik, bilinç bulanıklığı şikayetleri ile hastanemize başvurdu. Hastanın sinoviyal sarkom nedeniyle ameliyat öyküsü ve sağ akciğerde metastatik kitlesi vardı. Yapılan BT Anjiyografi incelemesinde metastatik akciğer kitlesini besleyen inferior frenik arterde hemoraji saptandı. Trans-arteriyel embolizasyon (TAE) ile başarılı bir şekilde tedavi edilen ve embolizasyon sonrası şikayetleri kaybolan frenik arter hasarının neden olduğu nadir bir hemoptizi vakasını sunuyoruz.

Keywords

• Inferior phrenic artery
• Transcatheter arterial embolization
• Lung metastases
• Massive hemoptysis

References

1. Referans 1. Woong Yoon, MD ● Jae Kyu Kim, MD ● Yun Hyun Kim, MD Tae Woong Chung, MD ● Heoung Keun Kang, MD Bronchial and Nonbronchial Systemic Artery Embolization for Lifethreatening Hemoptysis: A Comprehensive Review RadioGraphics 2002; 22:1395–1409 ● Published online 10.1148/rg.22601518
2. Referans2. Keita Kawakadoa, Takayuki Yabukib,Tatsuya Nishia,Masamot Nakanishia, Go Makimotoa, Tomoki Tamuraa, Shoichi Kuyama, Successful transcatheter arterial embolization of asymptomatic aneurysm associated with left inferior phrenic artery-to-left pulmonary artery fistula: A case report https://doi.org/10.1016/j.rmcr.2021.101444
3. Referans3. Keiji Yamanashi, Shota Nakao, Koji Idoguchi, Tetsuya Matsuoka A case of delayed hemothorax with an inferior phrenic artery injury detected and treated endovascularly https://doi.org/10.1002/ccr3.311
4. Referans4. Makoto Aoki, Kei Shibuya, Minoru Kaneko, Ayana Koizumi, Masato Murata, Jun Nakajima, Shuichi Hagiwara, Masahiko Kanbe, Yoshinori Koyama, Yoshito Tsushima, and Kiyohiro Oshima Massive hemothorax due to inferior phrenic artery injury after blunt trauma World J Emerg Surg. 2015; 10: 58. Published online 2015 Nov 24. doi: 10.1186/s13017-015-0052-3
5. Referans5. David M Wynne 1, Xavier D Jefferson Coil Embolization of an Inferior Phrenic Artery-to-Pulmonary Artery Fistula PMID: 35314369,DOI: 10.1016/j.jvir.2022.03.017
6. Referans6. Kaoruko Funakoshi 1, Yuji Ishibashi 2, Shuntaro Yoshimura 1, Ryoto Yamazaki 3, Fumihiko Hatao 1, Yasuhiro Morita 1, Kazuhiro İmamura 1. Right inferior phrenic artery pseudoaneurysm after a laparoscopic gastrectomy: a case report. PMID: 31792728 PMCID: PMC6888781DOI: 10.1186/s40792-019-0739-x
7. Referans7. Mari Satoh 1, Takayuki Kogure 1, Akinobu Koiwai 1, Daisuke Fukushi 1, Morihisa Hirota 1, Katsuya Endo 1, Kennichi Satoh 1. A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery PMID: 3491187 PMCID: PMC8758465 DOI: 10.2169/internalmedicine.7746-21
8. Referans8. Lin-Zhong Zhu 1, Ren-Jie Yang 1, Xu Zhu 1 Role of inferior phrenic artery in the interventional treatment of lung metastases tumor: A report of 11 cases, PMID: 29516961 DOI: 10.4103/jcrt.JCRT_742_17