Document Detail

Recurrent hemoptysis following a systemic-to-pulmonary anastomosis in a child with a complex congenital cardiomyopathy.
MedLine Citation:
PMID:  10988218     Owner:  NLM     Status:  MEDLINE    
A 14-year-old boy with a history of congenital cardiopathy is presented. At age 4, a left systemic-to-pulmonary fistula was performed, using a tubular prosthesis to anastomose the left subclavian artery to the left pulmonary artery. Following this procedure, he developed recurrent episodes of hemoptysis, cough, and left upper lobe consolidation. Treatment resulted in clinical but no radiologic resolution. At age 6, a new right systemic-to-pulmonary anastomosis was needed, as the left one was no longer functioning. After placement of the second shunt, the hemoptysis disappeared. At age 14, flexible bronchoscopy revealed a foreign body granuloma at the left secondary carina. Rigid bronchoscopy and laser photoresection showed it to be the left vascular prosthesis, placed 10 years before. Surgery failed to remove it.
J P Diaz-Jimenez; A N Rodriguez; M A Andres
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  118     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-10-12     Completed Date:  2000-10-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  865-7     Citation Subset:  AIM; IM    
Endoscopy and Laser Unit, Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain.
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MeSH Terms
Anastomosis, Surgical / adverse effects
Blood Vessel Prosthesis Implantation / adverse effects
Diagnosis, Differential
Heart Defects, Congenital / surgery*
Hemoptysis / diagnosis,  etiology*,  surgery
Hemostasis, Surgical / methods
Laser Therapy
Postoperative Hemorrhage / diagnosis,  etiology*,  surgery
Pulmonary Artery / surgery*
Radiography, Thoracic
Subclavian Artery / surgery*

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