Pulmonary hypertensive crisis following ethanol sclerotherapy for a complex vascular malformation

G. Cordero-Schmidt, M. B. Wallenstein, Maide Ozen, N. A. Shah, E. Jackson, D. M. Hovsepian, J. P. Palma

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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.

Original languageEnglish (US)
Pages (from-to)713-715
Number of pages3
JournalJournal of Perinatology
Volume34
Issue number9
DOIs
Publication statusPublished - Jan 1 2014
Externally publishedYes

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Cordero-Schmidt, G., Wallenstein, M. B., Ozen, M., Shah, N. A., Jackson, E., Hovsepian, D. M., & Palma, J. P. (2014). Pulmonary hypertensive crisis following ethanol sclerotherapy for a complex vascular malformation. Journal of Perinatology, 34(9), 713-715. https://doi.org/10.1038/jp.2014.88