Life-threatening hemoptysis in single ventricle patients
Authors:
V. Krasňanová 1; Ľ. Kováčiková 1; P. Škrak 1; Z. Hrubšová 1; M. Záhorec 1; S. Kunzo 2
Authors‘ workplace:
Národný ústav srdcových a cievnych chorôb, a. s., Detské kardiocentrum, Oddelenie anestéziológie a intenzívnej medicíny, Bratislava, Slovensko
1; Detská otorinolaryngologická klinika LF UK a NÚDCH, Bratislava, Slovensko
2
Published in:
Čes-slov Pediat 2019; 74 (5): 284-288.
Category:
Case Report
Overview
In single ventricle patients, hemoptysis is a life-threatening complication. Development of hemoptysis is associated with the presence of aortopulmonary collaterals. We present two patients with single ventricle physiology, aortopulmonary collaterals and severe hemoptysis. Multiple bronchoscopies and cardiac catheterizations with coil embolisation of aortopulmonary collateral vessels were performed. These interventions resulted in termination of hemoptysis and improvement of the clinical condition. Optimization of hemodynamic parameters is recommended to prevent the recurrence of hemoptysis.
Keywords:
hemoptysis – aortopulmonary collaterals – single ventricle circulation
Sources
1. Gewillig M, Goldberg DJ. Failure of the fontan circulation. Heart Fail Clin 2014; 10 (1): 105–116.
2. Deisenberg M, Stayer SA. Severe hemoptysis in a child after the Fontan procedure. Paediatr Anaesth 2005; 15 (6): 515–518.
3. McElhinney DB, Reddy VM, Tworetzky W, et al. Incidence and implications of systemic to pulmonary collaterals after bidirectional cavopulmonary anastomosis. Ann Thorac Surg 2000; 69: 1222–1228.
4. Ittrich H, Bockorn M, Klose H, et al. The diagnosis and treatment of hemoptysis. Dtsch Arztebl Int 2017; 114 (21): 371–381.
5. Yoon W, Kim JK, Kim YH, et al. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: A comprehensive review. RadioGraphics 2002; 22 (6): 1395–1409.
6. Coss-Bu JA, Sachdeva RC, Bricker JT, et al. Hemoptysis: a 10-year retrospective study. Pediatrics 1997; 100 (3): E7.
7. Suda K, Matsumura M, Sano A, et al. Hemoptysis from collateral arteries 12 years after a fontan-type operation. Ann Thorac Surg 2005; 79 (1): 7–8.
8. Triedman JK, Bridges ND, Mayer JE Jr, et al. Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures. J Am Coll Cardiol 1993; 22 (1): 207–215.
9. Stern HJ. Aggressive coiling of aortopulmonary collaterals in single-ventricle patients is warranted. Pediatr Cardiol 2010; 31: 449–453.
10. Powell AJ. Aortopulmonary collaterals in single-ventricle congenital heart disease: how much do they count? Circ Cardiovasc Imaging 2009; 2 (3): 171–173.
11. Spicer RL, Uzark KC, Moore JW, et al. Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures. Am Heart J 1996; 131: 1164–1168.
12. Kanter KR, Vincent RN, Raviele AA, et al. Importance of acquired systemic-to-pulmonary collaterals in the Fontan operation. Ann Thorac Surg 1999; 68: 969–974.
13. Bradley SM, McCall MM, Sistino JJ, et al. Aortopulmonary collateral flow in the Fontan patient: does it matter? Ann Thorac Surg 2001; 72: 408–415.
14. O‘Byrne ML, Schidlow DN. Durable benefit of particle occlusion of systemic to pulmonary collaterals in select patients after superior cavopulmonary connection. Pediatr Cardiol 2018; 39 (2): 245–253.
15. Averin K, Byrnes JW, Benscoter DT, et al. Life-threatening airway bleeding after palliation of single ventricle congenital heart disease. Heart 2018; 104 (3): 254–260.
16. Tüllera C, Tüllerb B, Tamma M, et al. Hemodynamic effects of endobronchial application of Ornipressin versus Terlipressin. Respiration 2004; 71: 397–401.
Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2019 Issue 5
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