Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Department of Cardiology, Nagano Children's Hospital, 3100 Toyoshina, Azumino, Nagano, 399-8288, Japan.
BMC Musculoskelet Disord. 2022 Mar 18;23(1):263. doi: 10.1186/s12891-022-05225-9.
Patients with congenital heart disease (CHD) are associated with an increased incidence of scoliosis, often with severe progression. We report a case of hemoptysis caused by rapid scoliosis progression subsequent to surgery for CHD that was successfully managed by surgical curve correction following coil embolization.
A 14-year-old girl with scoliosis had undergone open heart surgery for CHD at the age of 1 year. She was first noted to have scoliosis at 12 years of age, which began to progress rapidly. At age 13, her main thoracic curve Cobb angle was 46°, and hemoptysis with high pulmonary vein pressure due to vertebral rotation was detected. Nine months after coil embolization, she received posterior spinal fusion from T5 to L2 for scoliosis correction. Postoperatively, her pulmonary vein diameter was enlarged, with no detectable signs of hemoptysis.
We encountered a case of hemoptysis caused by advanced scoliosis after cardiac surgery that was successfully treated by correction of the scoliotic curve following coil embolization. Patients with secondary scoliosis after surgery for CHD should be carefully monitored for the possibility of cardiovascular system deterioration.
先天性心脏病（CHD）患者脊柱侧弯的发病率增加，且往往进展迅速。我们报告了一例因 CHD 手术后脊柱迅速进展导致咯血的病例，该病例通过线圈栓塞后的手术曲线矫正成功治疗。
一名 14 岁女孩，1 岁时因 CHD 接受了心脏直视手术。她在 12 岁时首次被发现患有脊柱侧弯，此后开始迅速进展。13 岁时，她的主胸弯 Cobb 角为 46°，由于椎体旋转导致肺静脉压升高而出现咯血。线圈栓塞 9 个月后，她接受了 T5 至 L2 的后路脊柱融合术以矫正脊柱侧弯。术后，她的肺静脉直径增大，无明显咯血迹象。
我们遇到了一例心脏手术后因严重脊柱侧弯导致的咯血病例，通过线圈栓塞后的脊柱侧弯矫正成功治疗。CHD 手术后发生继发性脊柱侧弯的患者应密切监测心血管系统恶化的可能性。
