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Case Reports
. 2018 Mar;105(3):e117-e118.
doi: 10.1016/j.athoracsur.2017.09.043.

Pulmonary Hemorrhage Due to Unrecognized Bronchial Collateral After Arterial Switch Operation

Sreelakshmi P Leeladharan  1 , Jessin P Jayashankar  1 , Brijesh P Kottayil  2 , Mahesh Kappanayil  3 , Krishnakumar Raman  3 , Rakhi Balachandran  4
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Case Reports

Pulmonary Hemorrhage Due to Unrecognized Bronchial Collateral After Arterial Switch Operation

Sreelakshmi P Leeladharan et al. Ann Thorac Surg. 2018 Mar.

Abstract

We report a neonate with transposition of great arteries and intact ventricular septum who had a massive pulmonary hemorrhage soon after an arterial switch operation. An emergency cardiac catheterization revealed a large bronchial collateral artery from the descending aorta feeding the right lung. The hemorrhage was controlled by coil embolization of the collateral, and the patient recovered after prolonged intensive care.

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