A pulmonary embolism treated with the Angiojet technique in a patient with double outlet right ventricle.
A 24-year-old man known to have a double outlet right ventricle, status post-modified Fontan procedure at age 10, taking coumadin after having a stroke one year prior, presented with a massive pulmonary embolism and hemodynamic instability. Locally delivered tPA was unsuccessful, and the pulmonary artery thrombus was finally removed with a thrombectomy catheter (Angiojet thrombectomy); the patient recovered soon thereafter. This is the first report of the successful use of a thrombectomy catheter in a patient with pulmonary emboli and an occluded Fontan conduit.
Brenes
Juan-Carlos
JC
Division of Internal Medicine, University of Miami School of Medicine, Miami, FL, USA.
Ferreira
Alexandre
A
Galindo
Alvaro
A
D000328:Adult; D000792:Angiography / Q000379:methods; D006328:Cardiac Catheterization / Q000379:methods; D004310:Double Outlet Right Ventricle / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D018729:Fontan Procedure; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D018570:Risk Assessment; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome