Document Detail


Catastrophic haemoptysis in the Fontan circulation - a novel surgical approach to denude the culprit bleeding vessels.
MedLine Citation:
PMID:  21349234     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We describe the case of a young man aged 19 years with a double inlet left ventricle associated with transposition of the great arteries, and a mechanical aortic valve requiring anticoagulation, who presented with massive haemoptysis. At cardiac catheterisation, there were multiple feeder vessels to a bleeding leash surrounding and communicating with his left main bronchus. Despite occlusion of the larger feeder vessels, he continued to have massive haemoptysis. We describe a novel surgical strategy of denuding the peribronchial vessels through a left lateral thoracotomy. This successfully stopped his bleeding.
Authors:
David E Black; Gruschen R Veldtman; Timothy Bryant; John Miller; Marcus Haw
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-25
Journal Detail:
Title:  Cardiology in the young     Volume:  -     ISSN:  1467-1107     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-3     Citation Subset:  -    
Affiliation:
Department of Adult Congenital Heart disease and Interventional Radiology, Southampton University Hospital, Southampton, United Kingdom.
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