Document Detail


Acute pulmonary reperfusion hemorrhage: a rare complication after oversized percutaneous balloon valvuloplasty for pulmonary valve stenosis.
MedLine Citation:
PMID:  19948440     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Balloon valvuloplasty became the treatment of choice for valvular pulmonary stenosis following its first description in 1982 by Kan et al, and has almost replaced surgical pulmonary valvotomy in the present day. It is a safe and effective method for children for relief of right ventricular obstruction. The results of the procedure are excellent, without significant complications. This report describes the case of a 12-year-old boy who received successful balloon valvuloplasty for critical pulmonary valve stenosis complicated by an episode of acute pulmonary hemorrhage. Because of cyanosis, hypotension and bradycardia, he received emergent endotracheal intubation with 100% oxygen supplement and the highest infusion rate of inotropic agents. Venoarterial mode extracorporeal membrane oxygenation was indicated for life support due to the persistent high oxygenation index. Extracorporeal membrane oxygenation played a key role in the survival of this patient during the course of treatment.
Authors:
Hao-I Cheng; Pi-Chang Lee; Betau Hwang; Chung-Chang Laura Meng
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  72     ISSN:  1728-7731     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-01     Completed Date:  2010-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  607-10     Citation Subset:  IM    
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Balloon Dilatation / adverse effects*
Child
Extracorporeal Membrane Oxygenation
Hemorrhage / etiology*
Humans
Lung Diseases / etiology*
Male
Pulmonary Valve Stenosis / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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