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Bronchial Artery Dissection and Fatal Hemothorax Following Pneumonectomy

Department of Thoracic Surgery 1 Department of Clinical Pathology Wessex Cardiothoracic Centre Southampton General Hospital Southampton, Hampshire, England, UK
Augustine TM Tang, FRCSEd Tel: 44 23 8077 7222 Fax: 44 23 8079 8508 email: gus{at}tang-family.org Department of Thoracic Surgery, Wessex Cardiothoracic Centre, Southampton General Hospital, Tremona Road, Southampton, Hampshire, England SO16 6YD, UK.

A 59-year-old man died suddenly and unexpectedly two days after an uncomplicated pneumonectomy for bronchogenic adenocarcinoma. In addition to a distal pulmonary thromboembolism found at postmortem, there was significant hemorrhaging into the pneumonectomy space, which was associated with rupture of a dissecting aneurysm in the calcified bronchial artery stump. The pathology and surgical implications of bronchial artery disease are discussed.