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Salvage pulmonary thromboembolectomy for massive pulmonary embolism in a child presented with syncope and subsequent cardiac arrest

Published online by Cambridge University Press:  26 June 2019

Koray Ak*
Affiliation:
Departments of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey
Yasar Birkan
Affiliation:
Departments of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey
Figen Akalın
Affiliation:
Marmara University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Cardiology, Istanbul, Turkey
Deniz Günay
Affiliation:
Departments of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey
*
Author for correspondence: Prof. K. Ak, MD, PhD, Kalp ve Damar Cerrahisi AD, Saglik Bakanligi Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi, 4. Kat, Ustkaynarca Pendik, Istanbul, Turkey. Tel: 00 90 216 625 45 45; E-mail: [email protected]

Abstract

Pulmonary embolism is frequently under-recognised in children and, therefore, a high index of suspicion should be exerted on patients with exertional dyspnoea, presyncope/syncope and unexplained cardiopulmonary arrest. We discuss a 10-year-old previously healthy girl who presented with syncope and subsequent cardiac arrest related to massive pulmonary embolism and was salvaged successfully by emergent pulmonary embolectomy.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

Zaidi, AU, Hutchins, KK, Rajpurkar, M. Pulmonary Embolism in Children. Front Pediatr 2017; 5: 170.CrossRefGoogle ScholarPubMed
Baird, JS, Killinger, JS, Kalkbrenner, KJ, et al. Massive pulmonary embolism in children. J Pediatr 2010; 156: 148151.CrossRefGoogle ScholarPubMed
Revel-Vilk, S, Chan, A, Bauman, M, et al. Prothrombotic conditions in an unselected cohort of children with venous thromboembolic disease. J Thromb Haemost 2003; 1: 915921.CrossRefGoogle Scholar
Basol, N, Karakus, N, Savas, AY, et al. The importance of MTHFR C677T/A1298 C combined polymorphisms in pulmonary embolism in Turkish population. Medicina (Kaunas) 2016; 52: 3540.CrossRefGoogle Scholar
Young, G, Albisetti, M, Bonduel, M, et al. Impact of inherited thrombophilia on venous thromboembolism in children: a systematic review and meta-analysis of observational studies. Circulation 2008; 118: 13731382.CrossRefGoogle ScholarPubMed
Kenet, G, Limperger, V, Shneyder, M, Nowak-Göttl, U. Risk factors for symptomatic venous and arterial thromboembolism in newborns, children and adolescents – What did we learn within the last 20 years? Blood Cells Mol Dis 2017; 67: 1822.CrossRefGoogle Scholar
Eini, ZM, Houri, S, Cohen, I, et al. Massive Pulmonary Embolism in Children: Does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases. Chest 2013; 143: 544549.CrossRefGoogle ScholarPubMed
Weinberg, A, Tapson, VF, Ramzy, D. Massive pulmonary embolism: Extracorporeal membrane oxygenation and surgical pulmonary embolectomy. Semin Respir Crit Care Med 2017; 38: 6672.CrossRefGoogle ScholarPubMed
Akam-Venkata, J, Forbes, TJ, Schreiber, T, et al. Catheter-directed therapy for acute pulmonary embolism in children. Cardiol Young 2018; 21: 17.Google Scholar