Repeat balloon occlusion of a pulmonary arteriovenous fistula following cavopulmonary anastomosis in tetralogy of fallot

Hj, Chen; Tj, Wargovich; Jp, Mickle; Ja, Hill

doi:10.1002/ccd.1810280311

Cited by 2 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of the earlier forms of therapy included right lower lobe lobectomy, or pneumonectomy, or balloon or coil embolotherapy. 124 None of these were particularly attractive in those patients who developed pulmonary arteriovenous malformations following cavopulmonary shunting because of the tendency to recurrence and redistribution. The introduction of the bidirectional cavopulmonary shunt as interim palliation brought new issues into play.…”

Section: Manoeuvers To Treat Acquired Pulmonary Arteriovenous Malformmentioning

confidence: 99%

The biological “scrabble” of pulmonary arteriovenous malformations: considerations in the setting of cavopulmonary surgery

2004

View full text Add to dashboard Cite

Pulmonary arteriovenous fistulas are vascular malformations, which, by virtue of producing abnormal vascular connections proximal to the units of gas exchange, result in intrapulmonary right-to-left shunting. These malformations or fistulas reflect at least in part disordered angiogenesis, and less commonly recruitment and dilation of pre-existing vascular channels. Pulmonary arteriovenous fistulas occur in a number of diverse clinical settings. Such fistulas are a well-established feature of the Weber-Osler-Rendu complex, or hereditary haemorrhagic telangiectasia, an autosomal dominant vascular dysplasia characterized by mucocutaneous telangiectasis, epistaxis, gastrointestinal haemorrhage, and arteriovenous malformations in the lung, brain, liver and elsewhere. They are also seen in the patient with acute or chronic liver disease, disease that is usually but not invariably severe, or those with non-cirrhotic portal hypertension. They may occur as congenital malformations, single or diffuse, large or small in isolation, and when large or extensive enough may result in hypoxaemia, clinical cyanosis, and heart failure. Cerebral vascular accidents are also a well-known complication of this disorder. An extensive literature has accumulated with regard to the pulmonary arteriovenous fistulas seen in the setting of the Weber-Osler-Rendu complex, and there is considerable information on the genetics, basic biology, clinical findings, complications and therapeutic interventions of these malformations in the setting of this syndrome. These issues, however, are not the primary considerations of this review, although some aspects of this fascinating disorder will be discussed later. Rather the focus will be on pulmonary arteriovenous malformations that develop in the setting of cavopulmonary surgery, and their relationship to the pulmonary arteriovenous fistulas occurring in the hepatopulmonary syndrome. The complex tapestry of these overlapping and intersecting clinical observations will be unfolded in the light of their chronology.

show abstract

Section: Manoeuvers To Treat Acquired Pulmonary Arteriovenous Malformmentioning

confidence: 99%

The biological “scrabble” of pulmonary arteriovenous malformations: considerations in the setting of cavopulmonary surgery

2004

View full text Add to dashboard Cite

show abstract

“…These fistulas have also been treated with coils [12] and detachable balloons [6]. Bruckheimer et al [3] embolized pulmonary arteriovenous fistulas in 7 patients with end-to-side Glenn anastomoses, using detachable balloons, spring coils, or prolonged balloon occlusion.…”

Section: Pulmonary Arteriovenous Malformationsmentioning

confidence: 99%

Pediatric Cardiovascular Embolization Therapy

Rothman

1998

Pediatr Cardiol

View full text Add to dashboard Cite

Transcatheter embolization of superfluous vascular structures has assumed an important role in pediatric interventional cardiology. A variety of devices and materials are being used to treat an increasing number of unwanted arterial, venous, and surgically created vascular connections. In general, the occlusion techniques are simple, the results are good, and the complication rates are low. The current indications, devices, materials, methods, applications, and results of pediatric cardiovascular embolization therapy are described.

show abstract

Repeat balloon occlusion of a pulmonary arteriovenous fistula following cavopulmonary anastomosis in tetralogy of fallot

Abstract: A 30-year-old woman with tetralogy of Fallot and cavopulmonary anastomosis (Glenn shunt) presented with a large pulmonary arteriovenous fistula in the right lower lobe. This report describes the successful management following two successive therapeutic balloon embolizations.

Cited by 2 publications

References 4 publications

The biological “scrabble” of pulmonary arteriovenous malformations: considerations in the setting of cavopulmonary surgery

The biological “scrabble” of pulmonary arteriovenous malformations: considerations in the setting of cavopulmonary surgery

Pediatric Cardiovascular Embolization Therapy

Contact Info

Product

Resources

About