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Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair

Lipiodol-based lymphangiography is not only a diagnostic tool for visualization of lymphatic disorders such as plastic bronchitis (PB), but also aims a therapeutic effect by embolizing lymph leakages. We performed such percutaneous lymphatic embolization for PB in a Fontan patient with proven absenc...

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Autores principales: Hubrechts, Jelena, Wåhlander, Håkan, Kjellberg-Olofsson, Cecilia, Maleux, Geert, Gewillig, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652765/
https://www.ncbi.nlm.nih.gov/pubmed/33194917
http://dx.doi.org/10.3389/fped.2020.584185
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author Hubrechts, Jelena
Wåhlander, Håkan
Kjellberg-Olofsson, Cecilia
Maleux, Geert
Gewillig, Marc
author_facet Hubrechts, Jelena
Wåhlander, Håkan
Kjellberg-Olofsson, Cecilia
Maleux, Geert
Gewillig, Marc
author_sort Hubrechts, Jelena
collection PubMed
description Lipiodol-based lymphangiography is not only a diagnostic tool for visualization of lymphatic disorders such as plastic bronchitis (PB), but also aims a therapeutic effect by embolizing lymph leakages. We performed such percutaneous lymphatic embolization for PB in a Fontan patient with proven absence of right-to-left shunt, and demonstrated important lymphatic abnormalities in the mediastinum. Shortly after the procedure, the patient developed severe convulsive seizures, revealing multiple cerebral embolisms of Lipiodol. Radiological images were impressive, yet the clinical neurological outcome was favorable. Lipiodol-based lymphography in Fontan patients with plastic bronchitis should be avoided as this subgroup is more likely to have developed lympho-pulmonary venous connections which allow systemic emboli.
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spelling pubmed-76527652020-11-13 Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair Hubrechts, Jelena Wåhlander, Håkan Kjellberg-Olofsson, Cecilia Maleux, Geert Gewillig, Marc Front Pediatr Pediatrics Lipiodol-based lymphangiography is not only a diagnostic tool for visualization of lymphatic disorders such as plastic bronchitis (PB), but also aims a therapeutic effect by embolizing lymph leakages. We performed such percutaneous lymphatic embolization for PB in a Fontan patient with proven absence of right-to-left shunt, and demonstrated important lymphatic abnormalities in the mediastinum. Shortly after the procedure, the patient developed severe convulsive seizures, revealing multiple cerebral embolisms of Lipiodol. Radiological images were impressive, yet the clinical neurological outcome was favorable. Lipiodol-based lymphography in Fontan patients with plastic bronchitis should be avoided as this subgroup is more likely to have developed lympho-pulmonary venous connections which allow systemic emboli. Frontiers Media S.A. 2020-10-27 /pmc/articles/PMC7652765/ /pubmed/33194917 http://dx.doi.org/10.3389/fped.2020.584185 Text en Copyright © 2020 Hubrechts, Wåhlander, Kjellberg-Olofsson, Maleux and Gewillig. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Hubrechts, Jelena
Wåhlander, Håkan
Kjellberg-Olofsson, Cecilia
Maleux, Geert
Gewillig, Marc
Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title_full Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title_fullStr Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title_full_unstemmed Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title_short Case Report: Disseminated Systemic Embolism of Lipiodol After Lymphography for Plastic Bronchitis After Fontan Repair
title_sort case report: disseminated systemic embolism of lipiodol after lymphography for plastic bronchitis after fontan repair
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652765/
https://www.ncbi.nlm.nih.gov/pubmed/33194917
http://dx.doi.org/10.3389/fped.2020.584185
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