Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2021; 9(33): 10233-10237
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10233
Atrial fibrillation and concomitant left subclavian, axillary and brachial artery embolism after fiberoptic bronchoscopy: A case report
Cui-Lin Yang, Ran Zhou, Zhi-Xian Jin, Min Chen, Bao-Li Zi, Ping Li, Kai-Hua Zhou
Cui-Lin Yang, Zhi-Xian Jin, Min Chen, Bao-Li Zi, Ping Li, Kai-Hua Zhou, Department of Respiratory, Kunming Municipal First People's Hospital, Kunming 650000, Yunnan Province, China
Ran Zhou, Department of Respiratory, The First People's Hospital of Yunnan Province, Kunming 650000, Yunnan Province, China
Author contributions: Chen M and Jin ZX were the attending physicians for the patient, reviewed the literature, and contributed to writing the manuscript; Zi BL and Li P reviewed the literature and contributed to writing the manuscript; Zhou KH performed the bronchoscopy procedure and contributed to manuscript writing; Zhou R was responsible for revising the manuscript for important intellectual content; all authors approved the final submitted version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kai-Hua Zhou, MM, Chief Physician, Department of Respiratory, Kunming Municipal First People's Hospital, No. 1288 Beijing Road, Kunming 650000, Yunnan Province, China. zkh51033528@sina.com
Received: November 13, 2020
Peer-review started: November 13, 2020
First decision: July 8, 2021
Revised: August 4, 2021
Accepted: September 13, 2021
Article in press: September 13, 2021
Published online: November 26, 2021
Core Tip

Core Tip: This case highlights the fact that although fiberoptic bronchoscopy is generally a well-known and safe procedure, serious complications, such as arterial thrombosis may occur. The risk of developing arterial thrombosis following bronchoscopy is higher in patients with atrial fibrillation with mitral stenosis, highlighting the need for a rigorous risk assessment in these patients.