Cardiovascular collapse due to right heart failure following ethanol sclerotherapy: a case report.
10.4097/kjae.2014.66.5.388
- Author:
Jun Young JO
1
;
Ji Hyun CHIN
;
Pyung Hwan PARK
;
Seung Woo KU
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. swkoo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Ethanol;
Heart arrest;
Sclerotherapy
- MeSH:
Adult;
Arrhythmias, Cardiac;
Arteriovenous Malformations;
Ethanol*;
Female;
Heart Arrest;
Heart Failure*;
Hemodynamics;
Humans;
Hypertension, Pulmonary;
Leg;
Pulmonary Artery;
Pulmonary Embolism;
Sclerotherapy*;
Vascular Malformations
- From:Korean Journal of Anesthesiology
2014;66(5):388-391
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ethanol sclerotherapy for the treatment of low-flow vascular malformations can cause catastrophic cardiopulmonary complications, including pulmonary embolism and pulmonary hypertension, that can result in right heart failure and fatal arrhythmias, leading to death. We here report a case of abrupt cardiovascular collapse that developed immediately following ethanol sclerotherapy in 31-year-old female patient who had a large arteriovenous malformation in her leg. Anesthesiologists should be aware of the fatal cardiopulmonary complications that are associated with ethanol sclerotherapy and consider the use of invasive hemodynamic monitoring, such as pulmonary artery pressure monitoring, when large doses of ethanol are required.
