@Article{chd.12537,
AUTHOR = {Jason F. Goldberg, Craig L. Jensen, Rajesh Krishnamurthy, Nidhy P. Varghese, Henri Justino},
TITLE = {Pulmonary vein stenosis with collateralization via esophageal varices: Long-term follow-up after successful treatment with drug-eluting stent},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {13},
YEAR = {2018},
NUMBER = {1},
PAGES = {124--130},
URL = {http://www.techscience.com/schd/v13n1/38942},
ISSN = {3071-1738},
ABSTRACT = {<b>Objective:</b> 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.<br/>
<b>Design:</b> Case report<br/>
<b>Setting:</b> Tertiary children’s hospital<br/>
<b>Patient:</b> Single child through ages 2- to 11-year old<br/>
<b>Interventions:</b> 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.<br/>
<b>Conclusions:</b> 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.},
DOI = {10.1111/chd.12537}
}