Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-19T08:33:07.716Z Has data issue: false hasContentIssue false

Transcatheter treatment for pulmonary artery occlusion secondary to pulmonary embolism in an infant

Published online by Cambridge University Press:  01 August 2013

Mohammad El Tahlawi
Affiliation:
Cardiologie Pédiatrique, Hôpital de la Timone-Enfants, Marseille, France
Anass Assaidi
Affiliation:
Cardiologie Pédiatrique, Hôpital de la Timone-Enfants, Marseille, France
Alain Fraisse*
Affiliation:
Cardiologie Pédiatrique, Hôpital de la Timone-Enfants, Marseille, France
*
Correspondence to: A. Fraisse, Cardiologie Pédiatrique, Hôpital de la Timone-Enfants, 264 rue St Pierre, 13385 Marseille Cedex 05, France. Tel: +334 91 38 67 50; Fax: +334 91 38 56 38; E-mail: alain.fraisse@ap-hm.fr

Abstract

We report a case of successful recanalisation of the left pulmonary artery after occlusion due to embolic thrombi in a 9-month-old infant after surgical repair of a common atrioventricular canal with tetralogy of Fallot. A transhepatic approach was used because of caval vein thrombosis. After the failure of high-pressure balloon angioplasty, the left pulmonary artery was successfully recanalised with cutting balloons, followed by stent implantation with an excellent result.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Bergersen, LJ, Perry, SB, Lock, JE. Effect of cutting balloon angioplasty on resistant pulmonary artery stenosis. Am J Cardiol 2003; 91: 185189.Google Scholar
2. Butera, G, Carminati, M, Pome, G. Use of cutting-balloon angioplasty in a hybrid setting: a new application of the hybrid approach. J Invasive Cardiol 2008; 20: E327E328.Google Scholar
3. Suda, K, Matsumura, M, Hayashi, H, Nishimura, K. Comparison of efficacy of medium-sized cutting balloons versus standard balloons for dilation of peripheral pulmonary stenosis. Am J Cardiol 2006; 97: 10601063.Google Scholar
4. Forbes, TJ, Rodriguez-Cruz, E, Amin, Z, et al. The genesis stent: a new low-profile stent for use in infants, children, and adults with congenital heart disease. Catheter Cardiovasc Interv 2003; 59: 406414.Google Scholar
5. Tomita, H, Nakanishi, T, Hamaoka, K, Kobayashi, T, Ono, Y. Stenting in congenital heart disease: medium- and long-term outcomes from the JPIC stent survey. Circ J 2010; 74: 16761683.CrossRefGoogle ScholarPubMed
6. Sluysmans, T, Colan, SD. Theoretical and empirical derivation of cardiovascular allometric relationships in children. J Appl Physiol 2005; 99: 445457.Google Scholar
7. Fava, M, Loyola, S, Flores, P, Huete, Y. Mechanical fragmentation and pharmacological thrombolysis in massive pulmonary embolism. JVIR 1997; 8: 261266.Google Scholar
8. Biss, TT, Brandão, LR, Kahr, WH, Chan, AK, Williams, S. Clinical features and outcome of pulmonary embolism in children. Br J Haematol 2008; 142: 808818.Google Scholar
9. Shim, D, Lloyd, TR, Cho, KJ, Moorehead, CP, Beekman, RH III. Transhepatic cardiac catheterization in children. Evaluation of efficacy and safety. Circulation 1995; 92: 15261530.Google Scholar
10. Shim, D, Lloyd, TR, Beekman, RH III. Transhepatic therapeutic cardiac catheterization: a new option for the pediatric interventionalist. Catheter Cardiovasc Interv 1999; 47: 4145.Google Scholar