Aortopulmonary collateral artery embolization during postoperative extracorporeal membrane oxygenation after arterial switch procedure.
Aortopulmonary collateral arteries sometimes complicate cyanotic congenital heart defects. Combined with a relevant left-right shunt, this could result in massive airway bleeding during and after corrective surgery. A preoperatively diagnosed 1.2 mm small aortopulmonary collateral artery in a newborn suffering from transposition of the great arteries caused life-threatening airway bleeding during surgery. Postoperative extracorporeal membrane oxygenation (ECMO) was necessary, and coil embolization was performed on ECMO to terminate pulmonary bleeding.
Golej
J
J
Department of Neonatology and Pediatric Intensive Care, University Children's Hospital, Vienna, Austria.
Trittenwein
G
G
Marx
M
M
Schlemmer
M
M
D001011:Aorta / Q000002:abnormalities*; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D015199:Extracorporeal Membrane Oxygenation; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000628:therapy; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy; D008297:Male; D019106:Postoperative Hemorrhage / Q000628:therapy; D011651:Pulmonary Artery / Q000002:abnormalities*; D014188:Transposition of Great Vessels / Q000601:surgery*