Intractable Back Pain After Coil Embolization of Giant Veno-Venous Collaterals in a Patient With Fontan Circulation.
Veno-venous collaterals are sometimes seen in patients after the Fontan procedure. A 28-year-old female with tricuspid atresia who underwent the Fontan procedure had oxygen desaturation due to a giant veno-venous collateral. Coil embolization was performed for the collateral. After the procedure, she complained of severe back pain. Anti-inflammatory analgesics and steroids were not effective, although carbamazepine promptly relieved the intractable pain. Treatment-related pain after coil embolization for veno-venous collaterals in patients with Fontan physiology is quite rare, although cardiologists must recognize a critical condition to be differentiated from vascular occlusion.
Department of Pediatric Cardiology, Hiroshima City Hiroshima Citizens Hospital.
Seigo
S
Okada
Masahiro
M
Kamada
Naomi
N
Nakagawa
Yukiko
Y
Ishiguchi
Yuji
Y
Moritoh
Mayuko
M
Shohi
Kengo
K
Okamoto
Shunji
S
Hasegawa
Shouichi
S
Ohga
D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D001416:Back Pain / Q000188:drug therapy* / Q000209:etiology; D002220:Carbamazepine / Q000627:therapeutic use*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D018729:Fontan Procedure; D006801:Humans; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology
D018712:Analgesics, Non-Narcotic; D002220:Carbamazepine