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Pulmonary hypertensive crisis following ethanol sclerotherapy for a complex vascular malformation
G Cordero-Schmidt1, M B Wallenstein2, M Ozen2
11] California Poison Control System, San Francisco Division, University of California, San Francisco, CA, USA [2] Department of Emergency Medicine, Hospital San Juan de Dios, San Jose, Costa Rica.
Abstract:
Anhydrous ethanol is a commonly used sclerotic agent for treating vascular malformations. We describe the case of a full-term 15-day-old female with a complex venolymphatic malformation involving the face and orbit. During treatment of the lesion with ethanol sclerotherapy, she suffered acute pulmonary hypertensive crisis. We discuss the pathophysiology of pulmonary hypertension related to ethanol sclerotherapy, and propose that hemolysis plays a significant role. Recommendations for evaluation, monitoring and management of this complication are also discussed.
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