Haemoptysis in a patient with tetralogy of Fallot: a combined surgical and interventional approach.
Haemoptysis may occur in patients with tetralogy of Fallot and major aorto-pulmonary collateral arteries. We describe such a patient in whom bleeding from a major aorto-pulmonary collateral artery produced severe pulmonary haemorrhage. Interventional closure of the artery could not be performed because it perfused the native pulmonary arteries. Instead, we inserted a conduit between the right ventricle and the native pulmonary arteries, followed by percutaneous closure of the collateral artery. Our patient demonstrates the increasing necessity for combined surgical and interventional procedures.
Division of Congenital Cardiology, University Hospitals Leuven, Belgium. Werner.Budts@uz.kuleuven.ac.be
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Budts
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Moons
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Gewillig
D000293:Adolescent; D003097:Collateral Circulation; D003131:Combined Modality Therapy; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D013771:Tetralogy of Fallot / Q000150:complications*