Hemoptysis due to progressive scoliosis associated with congenital heart disease: a case report.

Journal: BMC Musculoskeletal Disorders
Treatment Used: Coil Embolization and Spinal Fusion
Number of Patients: 1
MediFind Summary

Overview: This case report describes a 14-year-old girl with congenital heart disease (CHD) and hemoptysis (coughing up blood) due to progressive scoliosis treated with coil embolization and spinal fusion.

Conclusion: A girl with congenital heart disease and hemoptysis (coughing up blood) due to progressive scoliosis was successfully treated with coil embolization and spinal fusion.

Abstract

Background: Patients with congenital heart disease (CHD) are associated with an increased incidence of scoliosis, often with severe progression. We report a case of hemoptysis caused by rapid scoliosis progression subsequent to surgery for CHD that was successfully managed by surgical curve correction following coil embolization.

Methods: A 14-year-old girl with scoliosis had undergone open heart surgery for CHD at the age of 1 year. She was first noted to have scoliosis at 12 years of age, which began to progress rapidly. At age 13, her main thoracic curve Cobb angle was 46°, and hemoptysis with high pulmonary vein pressure due to vertebral rotation was detected. Nine months after coil embolization, she received posterior spinal fusion from T5 to L2 for scoliosis correction. Postoperatively, her pulmonary vein diameter was enlarged, with no detectable signs of hemoptysis.

Conclusions: We encountered a case of hemoptysis caused by advanced scoliosis after cardiac surgery that was successfully treated by correction of the scoliotic curve following coil embolization. Patients with secondary scoliosis after surgery for CHD should be carefully monitored for the possibility of cardiovascular system deterioration.

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