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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 

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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