Life-threatening hemoptysis following the Fontan procedure.
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.
Bédard
Elisabeth
E
Department of Cardiology, Quebec Heart and Lung Institute, Laval Hospital, Laval, Quebec, Canada.
Lopez
Stéfane
S
Perron
Jean
J
Houde
Christine
C
Couture
Christian
C
Vaillancourt
Rosaire
R
Côté
Jean-Marc
JM
Delisle
George
G
LeBlanc
Marie-Hélène
MH
Chetaille
Philippe
P
Lamarre
André
A
Rodés-Cabau
Josep
J
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
D012597:Sclerosing Solutions; D011142:Polyvinyl Alcohol