Title:A Fatal Case of Immunocompetent Aspergilloma: Bronchial Artery Embolization Fail to Halt Recurrent Hemoptysis
Volume: 14
Issue: 3
Author(s): Mohd Zulfakar Mazlan*, Nik Abdullah Nik Mohamad, Mohamad Hasyizan Hassan, Saedah Ali, W Mohd Nazarudin W Hassan, Laila Ab Mukmin, Rhendra Hardy Mohd Zaini, Ariffin Marzuki, Chandran Nadarajan, Ahmad Zuhdi Mamat, Alwi Muhd Besari, Zeti Norfidiyati Salmuna Ayub and Azian Harun
Affiliation:
- Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan,Malaysia
Keywords:
Aspergilloma, bronchial artery embolization, hemoptysis, massive hemoptysis, HIV.
Abstract: Aspergillus is an organism responsible for aspergilloma. Massive hemoptysis, which is a
life-threatening symptom in a patient with pulmonary aspergilloma, is difficult to treat. Options for
definitive treatment include bronchial artery embolization and surgical removal by thoracotomy. We
report a 40-year-old housewife with no past medical illness, who presented with recurrent
hemoptysis caused by multiple bilateral pulmonary aspergilloma who underwent repeated
embolization in combination with systemic antifungal therapy. Prompt diagnosis and bronchial artery
embolization was successful in embolizing the feeding vessel; however, it failed to reduce morbidity
and mortality caused by recurrent pulmonary hemorrhage.
