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Can J Cardiol. 2008 Feb;24(2):145-7.

Life-threatening hemoptysis following the Fontan procedure.

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1
Department of Cardiology, Quebec Heart and Lung Institute, Laval Hospital, Laval, Quebec, Canada.

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.

PMID:
18273490
PMCID:
PMC2644573
[Indexed for MEDLINE]
Free PMC Article
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