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Right arrow Congenital - cyanotic

Ann Thorac Surg 2005;79:e7-e8
© 2005 The Society of Thoracic Surgeons

Case report

Hemoptysis From Collateral Arteries 12 Years After a Fontan-Type Operation

Kenji Suda, MDa,*, Masahiko Matsumura, MDa, Akira Sano, MDb, Shinichiro Yoshimura, MDc, Tetsuko Ishii, MDd

a Division of Pediatric Cardiology, Department of Pediatrics, Tenri, Japan
b Department of Radiology, Tenri Hospital, Tenri, Japan
c Department of Pediatrics, National Cardiovascular Center, Osaka, Japan
d Department of Pediatric Cardiology, Tokyo Women's Medical University, Tokyo, Japan

Accepted for publication August 10, 2004.

* Address reprint requests to Dr Suda, Department of Pediatrics and Child Health, Kurume University School of Medicine, 67 Asahi-Machi, Kurume City, 830-0011, Japan; (E-mail: kensuda{at}tenriyorozu-hp.or.jp).

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.






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