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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Pulmonary hypertensive crisis following ethanol sclerotherapy for a complex vascular malformation

Journal of Perinatology volume 34, pages 713–715 (2014)Cite this article

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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.

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Authors and Affiliations

  1. San Francisco Division, California Poison Control System, University of California, San Francisco, CA, USA

    G Cordero-Schmidt

  2. Department of Emergency Medicine, Hospital San Juan de Dios, San Jose, Costa Rica

    G Cordero-Schmidt

  3. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA

    M B Wallenstein, M Ozen, N A Shah & J P Palma

  4. Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA

    E Jackson

  5. Department of Radiology, Interventional Radiology Section, Stanford University School of Medicine, Stanford, CA, USA

    D M Hovsepian

Authors
  1. G Cordero-Schmidt
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  2. M B Wallenstein
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  3. M Ozen
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  4. N A Shah
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  5. E Jackson
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  6. D M Hovsepian
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  7. J P Palma
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Corresponding author

Correspondence to M B Wallenstein.

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The authors declare no conflict of interest.

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Cordero-Schmidt, G., Wallenstein, M., Ozen, M. et al. Pulmonary hypertensive crisis following ethanol sclerotherapy for a complex vascular malformation. J Perinatol 34, 713–715 (2014). https://doi.org/10.1038/jp.2014.88

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  • DOI: https://doi.org/10.1038/jp.2014.88

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