| Recurrent hemoptysis following a systemic-to-pulmonary anastomosis in a child with a complex congenital cardiomyopathy. | |
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MedLine Citation:
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PMID: 10988218 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J P Diaz-Jimenez; A N Rodriguez; M A Andres |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 118 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 2000 Sep |
Date Detail:
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Created Date: 2000-10-12 Completed Date: 2000-10-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 865-7 Citation Subset: AIM; IM |
Affiliation:
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Endoscopy and Laser Unit, Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain. diaz_jimenez@bcn.servicom.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anastomosis, Surgical / adverse effects Blood Vessel Prosthesis Implantation / adverse effects Bronchoscopy Diagnosis, Differential Heart Defects, Congenital / surgery* Hemoptysis / diagnosis, etiology*, surgery Hemostasis, Surgical / methods Humans Laser Therapy Male Postoperative Hemorrhage / diagnosis, etiology*, surgery Pulmonary Artery / surgery* Radiography, Thoracic Recurrence Reoperation Subclavian Artery / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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