Suda Kenji, Matsumura Masahiko, Sano Akira, Yoshimura Shinichiro, Ishii Tetsuko
Division of Pediatric Cardiology, Department of Pediatrics, Tenri Hospital, Tenri, Japan.
Ann Thorac Surg. 2005 Jan;79(1):e7-8. doi: 10.1016/j.athoracsur.2004.08.026.
A 20-year-old patient who had a single ventricle and pulmonary stenosis presented with recurrent hemoptysis 12 years after a Fontan-type operation. He was referred to us because of unsuccessful treatment with a tentative diagnosis of lung tuberculosis for 3 months. He had been relatively well for the prior 12 years, although he had attacks of paroxysmal supraventricular tachycardia and had underwent successful catheter ablation 3 years ago. Aortography revealed multiple collateral arteries as a cause of hemoptysis and coil embolization of these collateral arteries successfully stopped the hemoptysis. This case illustrates that collateral arteries may stay open or develop, and these collateral arteries can become a source of hemoptysis long after a Fontan-type operation.
一名患有单心室和肺动脉狭窄的20岁患者，在接受Fontan类手术后12年出现反复咯血。因初步诊断为肺结核治疗3个月未成功，遂转诊至我院。在过去的12年里，他的情况相对良好，尽管曾发作阵发性室上性心动过速，且3年前成功接受了导管消融术。主动脉造影显示多条侧支动脉是咯血的原因，对这些侧支动脉进行弹簧圈栓塞成功止住了咯血。该病例表明，侧支动脉可能保持开放或形成，并且这些侧支动脉在Fontan类手术后很长时间都可能成为咯血的来源。
