Pulmonary vein stenosis with collateralization via esophageal varices: Long-term follow-up after successful treatment with drug-eluting stent

Jason Goldberg, Craig L. Jensen, Rajesh Krishnamurthy, Nidhy P. Varghese, Henri Justino

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: We describe the long-term follow-up of a child with recurrent hemoptysis due to severe pulmonary vein stenosis decompressing via collaterals to esophageal varices. Design: Case report. Setting: Tertiary children's hospital. Patient: Single child through ages 2- to 11-year old. Interventions: The child underwent cutting balloon angioplasty, bare metal stenting, and implantation of a PTFE-covered stent, all of which failed rapidly. Only after placement of a paclitaxel drug eluting stent did he have prolonged relief from hemoptysis and long-term patency of the treated vein. The stents were serially dilated to keep up with somatic growth of the child, eventually culminating in the need to induce intentional stent fracture. Conclusions: We highlight novel transcatheter techniques to treat this vexing condition, discuss mechanisms of disease treatment and progression, and present the only patient with this rare combination of lesions to have achieved both longstanding pulmonary vein patency and resolution of esophageal varices.

Original languageEnglish (US)
Pages (from-to)124-130
Number of pages7
JournalCongenital Heart Disease
Volume13
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Drug-Eluting Stents
Esophageal and Gastric Varices
Stents
Hemoptysis
Therapeutics
Balloon Angioplasty
Pulmonary Veins
Polytetrafluoroethylene
Paclitaxel
Tertiary Care Centers
Disease Progression
Veins
Metals
Pulmonary Vein Stenosis
Growth

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Pulmonary vein stenosis with collateralization via esophageal varices : Long-term follow-up after successful treatment with drug-eluting stent. / Goldberg, Jason; Jensen, Craig L.; Krishnamurthy, Rajesh; Varghese, Nidhy P.; Justino, Henri.

In: Congenital Heart Disease, Vol. 13, No. 1, 01.01.2018, p. 124-130.

Research output: Contribution to journalArticle

Goldberg, Jason ; Jensen, Craig L. ; Krishnamurthy, Rajesh ; Varghese, Nidhy P. ; Justino, Henri. / Pulmonary vein stenosis with collateralization via esophageal varices : Long-term follow-up after successful treatment with drug-eluting stent. In: Congenital Heart Disease. 2018 ; Vol. 13, No. 1. pp. 124-130.
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