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Elective left pulmonary artery embolisation for pulmonary arteriovenous malformations secondary to cavopulmonary anastomoses not responsive to heart transplantation: a case report

Part of: Interventional Cardiology Functionally Univentricular Heart

Published online by Cambridge University Press:  13 September 2019

Caroline M. Bebawy Open the ORCID record for Caroline M. Bebawy [Opens in a new window] ,
Brent M. Gordon  and
Matthew J. Bock Open the ORCID record for Matthew J. Bock [Opens in a new window]
Caroline M. Bebawy
Affiliation:
Loma Linda University School of Medicine, Loma Linda, CA, USA
Brent M. Gordon
Affiliation:
Division of Pediatric Cardiology, Loma Linda University Children’s Hospital, Loma Linda, CA, USA
Matthew J. Bock*
Affiliation:
Division of Pediatric Cardiology, Loma Linda University Children’s Hospital, Loma Linda, CA, USA
*
Author for correspondence: Matthew J. Bock, Loma Linda University Medical Center,, 11234 Anderson St., MC-4434, Loma Linda, CA 92354, USA. Tel: 909-558-8083; Fax: 888-365-2421; E-mail: [email protected]
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Abstract

A 10-year-old female with heterotaxy-asplenia and complex CHD developed pulmonary arteriovenous malformations with associated cyanosis after Fontan completion. She underwent orthotopic heart transplantation, but her pulmonary arteriovenous malformations persisted with progressive worsening cyanosis. Elective transcatheter left pulmonary artery embolisation was performed 2 years post-transplant, which successfully normalised her oxygen saturation without a significant increase in pulmonary artery pressure.

Keywords

Pulmonary arteriovenous malformationspulmonary artery embolisationheterotaxy syndromecomplex CHDheart transplantationpediatrics
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 11 , November 2019 , pp. 1404 - 1406
Copyright
© Cambridge University Press 2019 

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References

Sharma, P, Kochar, P, Sharma, S, et al. A case of pulmonary arteriovenous malformation: role of interventional radiology in diagnosis and treatment. Ann Transl Med 2017; 5: 345.CrossRefGoogle ScholarPubMed
Marianeschi, SM, McElhinney, DB, Reddy, VM. Pulmonary arteriovenous malformations in and out of the setting of congenital heart disease. Ann Thorac Surg 1998; 66: 688–691.CrossRefGoogle ScholarPubMed
Srivastava, D, Preminger, T, Lock, JE, et al. Hepatic venous blood and the development of pulmonary arteriovenous malformations in congenital heart disease. Circulation 1995; 92: 1217–1222.CrossRefGoogle ScholarPubMed
Kwon, BS, Bae, EJ, Kim, GB, Noh, CI, Choi, JY, Yun, YS. Development of bilateral diffuse pulmonary arteriovenous fistula after Fontan procedure: is there nonhepatic factor? Ann Thorac Surg 2009; 88: 677–680.CrossRefGoogle ScholarPubMed
Lamour, JM, Hsu, DT, Kichuk, MR, Galantowicz, ME, Quaegebeur, JM, Addonizio, LJ. Regression of pulmonary arteriovenous malformations following heart transplantation. Pediatr Transplant 2000; 4: 280–284.CrossRefGoogle ScholarPubMed
Mott, AR, Spray, TL, Bridges, ND. Heart/single-lung transplant for a “failed Fontan” with pulmonary AV malformation. Ann Thorac Surg 1999; 67: 841–843.CrossRefGoogle Scholar
Hsu, CCT, Kwan, GNC, Thompson, SA, Evans-Barns, H, Van Driel, ML. Embolization for pulmonary arteriovenous malformation. Cochrane Database Syst Rev 2015; 1: CD008017. DOI: 10.1002/14651858.CD008017.pub4.Google ScholarPubMed
Park, J, Kim, HJ, Park, YS. Successful treatment of a large pulmonary arteriovenous malformation by repeated coil embolization. Tuberc Respir Dis (Seoul) 2015; 78: 408–411.CrossRefGoogle ScholarPubMed
Dori, Y, Sathanandam, S, Glatz, AC, Gillespie, MJ, Rome, JJ. Catheter approach to redirect hepatic venous return for treatment of unilateral pulmonary arteriovenous malformations after fontan. Catheter Cardiovascr Interv 2014; 84: 86–93.CrossRefGoogle ScholarPubMed
Shovlin, CL, Tighe, HC, Davies, RJ, Gibbs, JS, Jackson, JE. Embolization of pulmonary AVMs: no consistent effect on pulmonary artery pressure. Eur Respir J 2008; 32: 162–169.CrossRefGoogle ScholarPubMed