Transcatheter pulmonary embolectomy after fontan.

Journal Article (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

  • PMC4706506

Electronic International Standard Serial Number (EISSN)

  • 1522-726X

Digital Object Identifier (DOI)

  • 10.1002/ccd.26096


  • eng

Conference Location

  • United States