Okada Seigo, Kamada Masahiro, Nakagawa Naomi, Ishiguchi Yukiko, Moritoh Yuji, Shohi Mayuko, Okamoto Kengo, Hasegawa Shunji, Ohga Shouichi
Department of Pediatric Cardiology, Hiroshima City Hiroshima Citizens Hospital.
Int Heart J. 2017 Apr 6;58(2):298-301. doi: 10.1536/ihj.16-194. Epub 2017 Mar 21.
Veno-venous collaterals are sometimes seen in patients after the Fontan procedure. A 28-year-old female with tricuspid atresia who underwent the Fontan procedure had oxygen desaturation due to a giant veno-venous collateral. Coil embolization was performed for the collateral. After the procedure, she complained of severe back pain. Anti-inflammatory analgesics and steroids were not effective, although carbamazepine promptly relieved the intractable pain. Treatment-related pain after coil embolization for veno-venous collaterals in patients with Fontan physiology is quite rare, although cardiologists must recognize a critical condition to be differentiated from vascular occlusion.
