Bronchial artery embolization for control of life-threatening endobronchial haemorrhage during cardiac surgery in a patient with microscopic polyangiitis: a case report.

Xiaoru Lin, Manman Liu, Guiting Li, Changhong Miao, Chao Liang

Abstract readCase Reports

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Article in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Xiaoru Lin *Department of Anaesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, People's Republic of China.

Manman Liu *Department of Anaesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, People's Republic of China.

Guiting Li *Department of Anaesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, People's Republic of China.

Changhong MiaoDepartment of Anaesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, People's Republic of China. miao.changhong@zs-hospital.sh.cn.

Chao LiangDepartment of Anaesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, People's Republic of China. superwm226@126.com.

Funding

Foundation for Innovative Research Groups of the National Natural Science Foundation of China No. 82271215

6 · The paper itself

Abstract

backgroundMicroscopic polyangiitis (MPA) is a rare disease characterized by systemic vasculitis. However, perioperative endobronchial haemorrhage in these patients is not well-documented in medical literature. CASE PRESENTATION: We present the case of a 62-year-old woman with MPA who developed massive airway bleeding during thoracoscopic mitral valve replacement. The haemorrhage was successfully managed with bronchoscopic localization and bronchial artery embolization, which led to a rapid recovery.

conclusionThis case increases the awareness of endobronchial haemorrhage in patients with MPA and underscores the critical role of a prepared, multidisciplinary team in achieving a successful outcome.

Indexed as

Bronchial ArteriesBronchial DiseasesCardiac Surgical ProceduresEmbolization, TherapeuticHemorrhageIntraoperative ComplicationsMicroscopic PolyangiitisBronchoscopyFemaleHeart Valve Prosthesis ImplantationHumansMiddle AgedBronchial arterial embolizationCardiopulmonary bypassDiffuse alveolar haemorrhageEndobronchial haemorrhageMicroscopic polyangiitis

Identifiers

PMID41507794

DOI10.1186/s12871-025-03589-8

PMCPMC12882351

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LicenceCC BY-NC-ND

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