Massive Hemoptysis

  • Cairen J. McNamee
  • Tyler Black
  • Eric Vallieres
  • Riyad Karmy-Jones


Acute airway hemorrhage is a catastrophic event that is immediately life threatening. Survival is related to several factors including volume of blood loss, underlying cardiopulmonary status, rapidity of recognition, and rapidity of control. The primary goals of intervention are to lateralize the source of bleeding and to direct protect the contra-lateral lung from drowning. Subsequent management may include simply antibiotics, embolization, endo-bronchial ablation and/or resection, depending on etiology.


Endotracheal Tube Bronchial Artery Alveolar Hemorrhage Flexible Bronchoscopy Double Lumen Tube 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  1. Arney KL, Judson MA, Sahn SA. Airway obstruction arising from blood clot: three reports and a review of the literature [see comments]. Chest 1999; 115(l):293–300.PubMedGoogle Scholar
  2. Bobrowitz ID, Ramakrishna S, Shim YS. Comparison of medical v surgical treatment of major hemoptysis. Arch Intern Med 1983; 143(7): 1343–6.PubMedCrossRefGoogle Scholar
  3. Dweik RA, Stoller JK. Role of bronchoscopy in massive hemoptysis. Clin Chest Med 1999; 20(1):89–105.PubMedCrossRefGoogle Scholar
  4. Gourin A, Garzon A A. Operative treatment of massive hemoptysis. Ann Thorac Surg 1974; 18(l):52–60.PubMedCrossRefGoogle Scholar
  5. Kruczek ME, Hoff BH, Keszler BR, Smith RB. Blood clot resulting in ball-valve obstruction in the airway. Crit Care Med 1982; 10(2): 122–3.PubMedCrossRefGoogle Scholar
  6. Haponik EF, Chin R. Hemoptysis: clinicians’ perspectives [see comments]. Chest 1990; 97(2):469–75.PubMedCrossRefGoogle Scholar
  7. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest 1997; 112(2):440–4.PubMedCrossRefGoogle Scholar
  8. Knott-Craig CJ, Oostuizen JG, Rossouw G, Joubert JR, Barnard PM. Management and prognosis of massive hemoptysis. Recent experience with 120 patients. J Thorac Cardiovasc Surg 1993; 105(3):394–7.PubMedGoogle Scholar
  9. Mai H, Rullon I, Mellot F, Brugiere O, Sleiman C, Menu Y, et al. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis [see comments]. Chest 1999; 115(4):996–1001CrossRefGoogle Scholar
  10. Rabkin JE, Astafjev VI, Gothman LN, Grigorjev YG. Transcatheter embolization in the management of pulmonary hemorrhage. Radiology 1987; 163(2):361–5.PubMedGoogle Scholar
  11. Shamji F, Vallieres E. Airway Hemorrhage. Chest Surgery Clin NA 1991; 1(2):255–289.Google Scholar
  12. White RI, Jr. Bronchial artery embolotherapy for control of acute hemoptysis: analysis of outcome [editorial; comment]. Chest 1999; 115(4):912–5.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Cairen J. McNamee
  • Tyler Black
  • Eric Vallieres
  • Riyad Karmy-Jones

There are no affiliations available

Personalised recommendations