Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-27T14:18:40.128Z Has data issue: false hasContentIssue false

Embolisation of systemic-to-pulmonary collaterals in patients with the Eisenmenger reaction presenting with haemoptysis

Published online by Cambridge University Press:  28 August 2008

Mamas A. Mamas
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom Department of Cardiology, University of Manchester, Manchester, United Kingdom
Bernard Clarke
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom Department of Cardiology, University of Manchester, Manchester, United Kingdom
Vaikom S. Mahadevan*
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom Department of Cardiology, University of Manchester, Manchester, United Kingdom
*
Correspondence to: Dr Vaikom S. Mahadevan, Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, United Kingdom. Tel: +44 (0)161 276 8098; Fax: +44 (0)161 276 8098; E-mail: Vaikom.Mahadevan@CMMC.nhs.uk

Abstract

Haemoptysis is a common feature of adults with congenitally malformed hearts suffering from Eisenmenger’s syndrome. While this situation is often treated conservatively, it may not settle with such treatment. A further therapeutic option for these patients is embolisation of appropriate systemic-to-pulmonary collateral arteries. We discuss here our experience in treating two such patients with different underlying anatomical substrates.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2008

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. Wood, P. The Eisenmenger syndrome or pulmonary hypertension with reversed central shunt. BMJ 1958; 2: 701709.CrossRefGoogle ScholarPubMed
2. Daliento, L, Somerville, J, Presbitero, P, et al. Eisenmenger syndrome. Factors relating to deterioration and death. Eur Heart J 1998; 19: 18451855.CrossRefGoogle ScholarPubMed
3. Saha, A, Balakrishnan, KG, Jaiswal, PK, et al. Prognosis for patients with Eisenmenger syndrome of various aetiology. Int J Cardiol 1994; 45: 199207.CrossRefGoogle ScholarPubMed
4. Sheehan, R, Perloff, JK, Fishbein, MC, Gjertson, D, Aberle, DR. Pulmonary neovascularity: a distinctive radiographic finding in Eisenmenger syndrome. Circulation 2005; 112: 27782785.CrossRefGoogle ScholarPubMed
5. Perloff, JK, Hart, EM, Greaves, SM, Miner, PD, Child, JS. Proximal pulmonary arterial and intrapulmonary radiologic features of Eisenmenger syndrome and primary pulmonary hypertension. Am J Cardiol 2003; 92: 182187.CrossRefGoogle ScholarPubMed
6. Broberg, C, Ujita, M, Babu-Narayan, S, et al. Massive pulmonary artery thrombosis with haemoptysis in adults with Eisenmenger’s syndrome: a clinical dilemma. Heart 2004; 90: e63e67.CrossRefGoogle ScholarPubMed
7. Hartnell, GG. Embolization in the treatment of acquired and congenital abnormalities of the heart and thorax. Radiographics 1993; 13: 13491362.CrossRefGoogle ScholarPubMed
8. Greaves, K, Bye, P, Parker, G, Celermajer, DS. Prevalence of haemoptysis in adults with pulmonary atresia and ventricular septal defect, and the role of mammary artery collateral vessels. Heart 2003; 89: 937938.CrossRefGoogle ScholarPubMed
9. Haskal, ZV. Hemoptysis and bronchial artery embolization in an adult with uncorrected truncus arteriosus and Eisenmenger syndrome. J. Vasc Interv Radiol 2005; 16: 635638.CrossRefGoogle Scholar
10. Uflacker, R, Kaemmerer, A, Picon, PD, et al. Bronchial artery embolization in the management of hemoptysis: technical aspects and long-term results. Radiology 1985; 157: 637644.CrossRefGoogle ScholarPubMed