Hemoptysis from an aorto-pulmonary collateral vessel in a four month old resolved by embolization

Abstract

Hemoptysis in the children is a rare but serious diagnosis and is even more uncommon in infancy. Mortality is reported and depends on associated illnesses, underlying etiology, and amount of bleeding. A 4-month-old patient presented with significant hemoptysis. Flexible bronchoscopy with differential lavage confirmed the presence and site of origin of hemoptysis. She was managed with cardiac catheterization for embolization of an aorto-pulmonary collateral vessel with immediate complete resolution and no further recurrences. This highlights the importance of cardiac catheterization to detect collateral vessels as a cause for hemoptysis at this age and its successful resolution following embolization. Pediatr Pulmonol. 2016; 51:E31-E33. © 2016 Wiley Periodicals, Inc.

Cardiac catheterization for hemoptysis in a Children’s Hospital Cardiac Catheterization Laboratory: A 15 year experience

“…Patients after the Fontan operation have a high likelihood of developing significant AP collaterals with an estimated hemoptysis rate of 4% [8]. Interestingly, AP collaterals have also been reported as the source of hemoptysis in children without CHD [9,10]. In our center, cardiac catheterization has been performed to identify the etiologies of hemoptysis in children and adults with and without underlying CHD.…”