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J Thorac Cardiovasc Surg 2005;129:1447-1448
© 2005 The American Association for Thoracic Surgery

Brief Communication

Hemoptysis after CardioSEAL device embolization of a venous collateral after the Fontan operation

Peter Pastuszko, MDa, Jonathan J. Rome, MDb, Marie M. Gleason, MDb, Richard D. Bellah, MDc, Lisa M. Montenegro, MDd, J. William Gaynor, MDa,*

a Division of Cardiothoracic Surgery, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pa.
b Division of Cardiology, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pa.
c Division of Radiology, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pa.
d Division of Cardiac Anesthesiology, The Cardiac Center at The Children’s Hospital of Philadelphia, Philadelphia, Pa.

Received for publication October 15, 2004; accepted for publication October 28, 2004.

* Address for reprints: J. William Gaynor, MD, Division of Cardiothoracic Surgery, Suite 8527, The Children’s Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104 (Email: gaynor@email.chop.edu).

The first 20% of the full text of this article appears below.

Transcatheter closure of septal defects and other vascular structures in children is a rapidly evolving field with a growing number of applications for the currently available devices. Despite the widely accepted use of these closure devices for lesions such as atrial septal defects and patent ductus arteriosus, their use in the treatment of other defects is limited. Consequently, little is known about the associated risks and complications. We present here a case of a delayed complication of airway erosion from a CardioSEAL device (NMT Medical, Boston, Mass) used to close a large anomalous systemic to pulmonary venous channel after the Fontan operation.

Clinical Summary

An 18-year-old man with a functional single ventricle presented with recurrent hemoptysis. He had undergone staged reconstructive surgery with Fontan completion at 18 months of age. At the age of 13 years, he was noted to have decreased arterial oxygen saturations. Cardiac catheterization revealed a large decompressing vein from the . . . [Full Text of this Article]






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