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A Case of Fatal Acute Lung Injury after Balloon Valvuloplasty of Pulmonary Stenosis: Case Report and Review of Literature.

Ostovan MA, Kamali M, Zolghadrasli A - J Cardiovasc Thorac Res (2015)

Bottom Line: A newly described immediate complication after percutaneous pulmonary valvuloplasty isacute lung injury.Despite the procedural success, the patient developed severe dyspneaand desaturation a few hours later and died within 3 days due to shock state.This presentation inour patient should prompt clinicians to consider a more aggressive approach at the first sight ofthis previously considered innocent complication.

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Affiliation: Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
A newly described immediate complication after percutaneous pulmonary valvuloplasty isacute lung injury. Here we report a case of fatal acute lung injury after pulmonary valvuloplasty.The patient was a 26-year-old woman, referred to a general hospital with the diagnosis of livercirrhosis. In her work-ups severe pulmonary stenosis was detected and so a decision was madeto relieve the valve stenosis. Despite the procedural success, the patient developed severe dyspneaand desaturation a few hours later and died within 3 days due to shock state. Although thedefinition, incidence or severity of acute lung injury after pulmonary balloon valvuloplasty is notyet clear, this is as far as we know the first mortality reported in literature. This presentation inour patient should prompt clinicians to consider a more aggressive approach at the first sight ofthis previously considered innocent complication.

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Mentions: After enough hemostasis with fresh frozen plasma, she was transferred to the catheterization unit. Her angiogram showed thick and domed pulmonary valve and she had a peak to peak transvalvular gradient of 180 mm Hg (Figure 1). We used a 15 × 40 mm balloon initially to predilate the stenotic valve and then used a 20 × 45 mm balloon to fully dilate the pulmonary valve. The peak to peak transvalvular gradient dropped to 40 mm Hg after the procedure.


A Case of Fatal Acute Lung Injury after Balloon Valvuloplasty of Pulmonary Stenosis: Case Report and Review of Literature.

Ostovan MA, Kamali M, Zolghadrasli A - J Cardiovasc Thorac Res (2015)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492184&req=5

Mentions: After enough hemostasis with fresh frozen plasma, she was transferred to the catheterization unit. Her angiogram showed thick and domed pulmonary valve and she had a peak to peak transvalvular gradient of 180 mm Hg (Figure 1). We used a 15 × 40 mm balloon initially to predilate the stenotic valve and then used a 20 × 45 mm balloon to fully dilate the pulmonary valve. The peak to peak transvalvular gradient dropped to 40 mm Hg after the procedure.

Bottom Line: A newly described immediate complication after percutaneous pulmonary valvuloplasty isacute lung injury.Despite the procedural success, the patient developed severe dyspneaand desaturation a few hours later and died within 3 days due to shock state.This presentation inour patient should prompt clinicians to consider a more aggressive approach at the first sight ofthis previously considered innocent complication.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
A newly described immediate complication after percutaneous pulmonary valvuloplasty isacute lung injury. Here we report a case of fatal acute lung injury after pulmonary valvuloplasty.The patient was a 26-year-old woman, referred to a general hospital with the diagnosis of livercirrhosis. In her work-ups severe pulmonary stenosis was detected and so a decision was madeto relieve the valve stenosis. Despite the procedural success, the patient developed severe dyspneaand desaturation a few hours later and died within 3 days due to shock state. Although thedefinition, incidence or severity of acute lung injury after pulmonary balloon valvuloplasty is notyet clear, this is as far as we know the first mortality reported in literature. This presentation inour patient should prompt clinicians to consider a more aggressive approach at the first sight ofthis previously considered innocent complication.

No MeSH data available.


Related in: MedlinePlus