Document Detail


Embolization as a treatment of life-threatening haemoptysis in an adult with Tetralogy of Fallot with pulmonary atresia.
MedLine Citation:
PMID:  9617643     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Description of embolization as a treatment for bleeding bronchopulmonary collaterals in congenital heart disease. METHODS: After palliative corrective surgery of Tetralogy of Fallot with pulmonary atresia, haemoptysis due to ruptured bronchopulmonary collaterals is a well known complication. We describe a 31 year old patient with haemoptysis after incomplete correction because of Tetralogy of Fallot with pulmonary atresia. Because supportive treatment failed, the bleeding site was localized angiographically. Collaterals emerged from the right mammary artery, several intercostal arteries and the right costobrachial truncus. Embolization of these vessels with non absorbable particles stopped the bleeding. A follow-up of more than one year was uneventful. CONCLUSION: Embolization of bronchial collaterals has to be considered in patients with haemoptysis due to complex congenital disorders.
Authors:
P van der Weijden; L H Baur; L J Kool; H W Vliegen; E E van der Wall
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of cardiac imaging     Volume:  14     ISSN:  0167-9899     ISO Abbreviation:  Int J Card Imaging     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-08-27     Completed Date:  1998-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8600426     Medline TA:  Int J Card Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  123-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Leiden University Medical Centre, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Bronchoscopy
Cardiac Surgical Procedures / adverse effects
Embolization, Therapeutic*
Follow-Up Studies
Hemoptysis / diagnosis,  etiology,  therapy*
Humans
Male
Postoperative Hemorrhage / diagnosis,  etiology,  therapy
Pulmonary Atresia / complications*,  surgery
Tetralogy of Fallot / complications*,  surgery

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


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