Transcatheter pulmonary embolectomy after fontan.
Journal Article
Pulmonary embolism (PE) is a significant cause of morbidity and mortality among hospitalized patients, and thrombolytics are the mainstay of treatment. However, for patients who fail or have contraindications to thrombolytic therapy, catheter-based therapies, such as the AngioVac aspiration system, have emerged as an alternative to surgical embolectomy. Here, we present the novel case of a 22 year-old woman with Fontan circulation who developed severe postpartum cardiomyopathy and a saddle PE. She failed thrombolytic therapy but underwent successful pulmonary embolectomy by AngioVac aspiration. Patients with Fontan circulation have an increased incidence of thromboembolic events, and AngioVac thrombectomy is a valuable treatment option in these complex patients.
Full Text
Duke Authors
Cited Authors
- Torok, RD; Fleming, GA; Hill, KD
Published Date
- April 2016
Published In
Volume / Issue
- 87 / 5
Start / End Page
- 939 - 944
PubMed ID
- 26154441
Pubmed Central ID
- 26154441
Electronic International Standard Serial Number (EISSN)
- 1522-726X
International Standard Serial Number (ISSN)
- 1522-1946
Digital Object Identifier (DOI)
- 10.1002/ccd.26096
Language
- eng