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Haemoptysis in a patient with tetralogy of Fallot: a combined surgical and interventional approach

Published online by Cambridge University Press:  24 May 2005

W. Budts ,
P. Moons  and
M. Gewillig
W. Budts
Affiliation:
Division of Congenital Cardiology, University Hospitals Leuven, Belgium
P. Moons
Affiliation:
Division of Congenital Cardiology, University Hospitals Leuven, Belgium
M. Gewillig
Affiliation:
Division of Paediatric Cardiology, University Hospitals Leuven, Belgium
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Abstract

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.

Keywords

Major aorto-pulmonary collateral arteryinterventional cardiologyAmplatzer devicemultidisciplinary
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 571 - 573
Copyright
© 2003 Cambridge University Press

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References

Moodie D. Diagnosis and management of congenital heart disease in the adult. Cardiol Rev 2001; 9: 276–281.Google Scholar
Warnes C. Tetralogy of Fallot and pulmonary atresia/ventricular septal defect. Cardiol Clin 1993; 11: 643–650.Google Scholar
Pigula F, Gandhi S, Ristich J, et al. Cardiopulmonary transplantation for congenital heart disease in the adult. J Heart Lung Transplant 2001; 20: 297–303.Google Scholar
Haroutunian L, Neill C. Pulmonary complications of congenital heart disease: hemoptysis. Am Heart J 1972; 84: 540–559.Google Scholar
Suzuki Y, Fukuda I, Kohno M, Jikuya T, Wada M, Tsutsui T. Preoperative therapeutic embolization for massive hemoptysis from bronchial collaterals in tetralogy of Fallot – a case report successfully treated by total correction. Nippon Kyobu Geka Gakkai Zasshi 1990; 38: 472–476.Google Scholar
van der Weijden P, Baur LH, Kool LJ, Vliegen HW, van der Wall EE. Embolization as a treatment of life-threatening haemoptysis in an adult with tetralogy of Fallot with pulmonary atresia. Int J Card Imaging 1998; 14: 123–126.Google Scholar
Gonzalez J, Ruiperez JA, Garcia Almagro FJ, Garcia Medina J, Capel A, Valdes M. Tetralogy of Fallot complicated by severe hemoptysis in the adult. Rev Esp Cardiol 2001; 54: 1002–1004.Google Scholar
Ooe K, Nakada H, Udagawa H, Shimizu Y. Severe pulmonary hemorrhage in patients with serious group A streptococcal infections: report of two cases. Clin Infect Dis 1999; 28: 1317–1319.Google Scholar
Arney K, Judson M, Sahn S. Airway obstruction arising from blood clot: three reports and a review of the literature. Chest 1999; 11: 293–300.Google Scholar