Case Report: PDF OnlyAcute Pulmonary Reperfusion Hemorrhage: A Rare Complication After Oversized Percutaneous Balloon Valvuloplasty for Pulmonary Valve StenosisCheng, Hao-Ia, b; Lee, Pi-Changa, b, *; Hwang, Betauc; Meng, Chung-Chang Lauraa, bAuthor Information aDivision of Pediatric Cardiology, Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. bNational Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. cTaipei City Hospital Zhongxiao Branch, Taipei, Taiwan, R.O.C. *Correspondence to: Dr Pi-Chang Lee, Division of Pediatric Cardiology, Department of Pediatrics, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: May 11, 2009; • Accepted: July 9, 2009. Journal of the Chinese Medical Association: November 2009 - Volume 72 - Issue 11 - p 607-610 doi: 10.1016/S1726-4901(09)70438-1 Metrics Abstract Balloon valvuloplasty became the treatment of choice for valvular pulmonary stenosis following its first description in 1982 by Kan et al, and has almost replaced surgical pulmonary valvotomy in the present day. It is a safe and effective method for children for relief of right ventricular obstruction. The results of the procedure are excellent, without significant complications. This report describes the case of a 12-year-old boy who received successful balloon valvuloplasty for critical pulmonary valve stenosis complicated by an episode of acute pulmonary hemorrhage. Because of cyanosis, hypotension and bradycardia, he received emergent endotracheal intubation with 100% oxygen supplement and the highest infusion rate of inotropic agents. Venoarterial mode extracorporeal membrane oxygenation was indicated for life support due to the persistent high oxygenation index. Extracorporeal membrane oxygenation played a key role in the survival of this patient during the course of treatment. © 2009 by Lippincott Williams & Wilkins, Inc.