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Pulmonary haemorrhage due to an aortopulmonary collateral artery after arterial switch

Published online by Cambridge University Press:  06 July 2015

Ai Sugimoto ,
Noritaka Ota  and
Kisaburo Sakamoto
Ai Sugimoto*
Affiliation:
Department of Cardiovascular Surgery, Niigata University Medical and Dental Hospital, 1-754, Asahimachi-dori, Chuo-ku, Niigata City 951-8510, Japan
Noritaka Ota
Affiliation:
Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Urushiyama 860, Aoi-ku, Shizuoka City 420-8660, Japan
Kisaburo Sakamoto
Affiliation:
Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Urushiyama 860, Aoi-ku, Shizuoka City 420-8660, Japan
*
Correspondence to: Dr A. Sugimoto, MD, PhD, Department of Cardiovascular Surgery, Niigata University Medical and Dental Hospital, 1-754, Asahimachi-dori, Chuo-ku, Niigata City 951-8510, Japan. Tel: +81 25 227 2243; Fax: +81 25 227 0780; E-mail: [email protected]
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Abstract

A neonate with transposition of the great arteries and intact ventricular septum presented without pulmonary over-circulation, and subsequently developed pulmonary haemorrhage after corrective surgery. Postoperative CT revealed an aortopulmonary collateral artery arising from the descending aorta, and we performed successful embolisation on postoperative day 9. Aggressive imaging modalities such as angiography and/or CT imaging with contrast can detect unexpected extra-pulmonary blood supply and guide further management.

Keywords

Transposition of the great arterypulmonary haemorrhagecollateral blood flowarterial switchCHD
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 579 - 581
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Copyright
© Cambridge University Press 2015 

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