False aneurysm and mediastinal hematoma: complications of simultaneous transcatheter therapy for coarctation of the aorta and patent ductus arteriosus in an infant.
We report an infant with intractable congestive heart failure caused by coarctation of the aorta, patent ductus arteriosus, atrial septal defect, and multiple muscular ventricular septal defects. He had received balloon angioplasty for dilating the aortic coarctation and a Gianturco coil for closing the ductus at a single therapeutic catheterization session at 4 months old. After balloon angioplasty, his heart failure had dramatically resolved. A false aneurysm and mediastinal hematoma were noted on the following day. The hematoma revealed total resolution 10 weeks later. He was asymptomatic throughout 12 months of follow-up.
Liang
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CD
Department of Pediatrics, Chang Gung Children's Hospital, 123 Ta Pei Road, Niao Sung Hsiang, Kaohsiung County 833, Taiwan. adi333@ms35.hinet.net
Ko
S F
SF
Tiao
M M
MM
D017541:Aneurysm, False / Q000209:etiology*; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D001017:Aortic Coarctation / Q000150:complications / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000628:therapy; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology*; D017211:Treatment Failure