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Transcatheter pulmonary embolectomy after fontan.


ABSTRACT: 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.

SUBMITTER: Torok RD 

PROVIDER: S-EPMC4706506 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature

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Transcatheter pulmonary embolectomy after fontan.

Torok Rachel D RD   Fleming Gregory A GA   Hill Kevin D KD  

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 20150708 5


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. S  ...[more]

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