title: Life-threatening hemoptysis following the Fontan procedure.
abstract: Two cases of life-threatening recurrent hemoptysis occurring 10 years after a Fontan 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.
authors.affiliation: Department of Cardiology, Quebec Heart and Lung Institute, Laval Hospital, Laval, Quebec, Canada.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Bédard
authors.forename: Stéfane
authors.initials: S
authors.lastname: Lopez
authors.forename: Jean
authors.initials: J
authors.lastname: Perron
authors.forename: Christine
authors.initials: C
authors.lastname: Houde
authors.forename: Christian
authors.initials: C
authors.lastname: Couture
authors.forename: Rosaire
authors.initials: R
authors.lastname: Vaillancourt
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Côté
authors.forename: George
authors.initials: G
authors.lastname: Delisle
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: LeBlanc
authors.forename: Philippe
authors.initials: P
authors.lastname: Chetaille
authors.forename: André
authors.initials: A
authors.lastname: Lamarre
authors.forename: Josep
authors.initials: J
authors.lastname: Rodés-Cabau
mesh_terms: D000293:Adolescent; D000328:Adult; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D012008:Recurrence; D019233:Retreatment; D012597:Sclerosing Solutions / Q000008:administration & dosage
chemical_list: D012597:Sclerosing Solutions; D011142:Polyvinyl Alcohol