Life-threatening hemoptysis following the Fontan procedure

被引：24

作者：

Belard, Elisabeth ^{[1
]}

Lopez, Stephane ^{[2
]}

Perron, Jean ^{[2
]}

Houde, Christine ^{[5
]}

Couture, Christian ^{[3
]}

Vaillancourt, Rosaire ^{[4
]}

Cote, Jean-Marc ^{[5
]}

Delisle, George ^{[5
]}

LeBlanc, Marie-Helene ^{[1
]}

Chetaille, Philippe ^{[5
]}

Lamarre, Andre ^{[6
]}

Rodes-Cabau, Josep ^{[1
]}

机构：

[1] Laval Hosp, Quebec Heart & Lung Inst, Dept Cardiol, Quebec City, PQ, Canada

[2] Laval Hosp, Quebec Heart & Lung Inst, Dept Cardiac Surg, Quebec City, PQ, Canada

[3] Laval Hosp, Quebec Heart & Lung Inst, Dept Pathol, Quebec City, PQ, Canada

[4] Laval Hosp, Quebec Heart & Lung Inst, Dept Thorac Surg, Quebec City, PQ, Canada

[5] Univ Laval, Ctr Hosp, Dept Pediat Cardiol, Quebec City, PQ, Canada

[6] Univ Laval, Ctr Hosp, Dept Radiol, Quebec City, PQ, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2008年 / 24卷 / 02期

关键词：

aortopulmonary collateral vessels; coil embolization; Fontan procedure; hemoptysis; RISK;

D O I：

10.1016/S0828-282X(08)70572-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Two cases of life-threatening recurrent hemoptysis occurring 10 years after a Fortran operation are presented. Bleeding from aortopulmonary collateral vessels was responsible for this complication in both cases, and the importance of systematic selective angiography of all potential origins of Such abnormal vessels, including those arising from the abdominal aorta, is highlighted. Although coil embolization of aortopulmonary collateral vessels is Usually definitive, pulmonary lobectomy may be necessary. The present report demonstrates, for the first time, that rescue extracorporeal membrane oxygenation Support can be used as a bridge to Surgery in case of severe uncontrollable hemoptysis in such cases.

引用

页码：145 / 147

页数：3

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