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Acquired systemic-to-pulmonary shunts in a 6-month-old child: case report and review of the literature

Part of: Cardiac Morphology

Published online by Cambridge University Press:  10 February 2020

Oscar Werner Open the ORCID record for Oscar Werner [Opens in a new window] ,
Caroline Ovaert  and
Pascal Amedro
Oscar Werner*
Affiliation:
Pediatric Cardiology & Pulmonology Department, M3C Regional Reference Center, Montpellier University Hospital, Montpellier, France Pediatric Imaging Department, Montpellier University Hospital, Montpellier, France
Caroline Ovaert
Affiliation:
Cardiology, M3C Regional Reference CHD Centre, La Timone University Hospital, Marseille, France Marseille Medical Genetics, INSERM UMR 1251, Aix Marseille University, Marseille, France
Pascal Amedro
Affiliation:
Pediatric Cardiology & Pulmonology Department, M3C Regional Reference Center, Montpellier University Hospital, Montpellier, France PhyMedExp, CNRS, INSERM, University of Montpellier, Montpellier, France
*
Author for correspondence: Dr O. Werner; Pediatric Cardiology & Pulmonology Department, CHU Arnaud De Villeneuve, 371 avenue du Doyen Gaston Giraud, 34295Montpellier Cedex 5, France. Tel: +33 4 67 33 66 39; Fax: +33 4 37 33 21 29; E-mail: o-werner@chu-montpellier.fr
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Abstract

The incidence of paediatric venous thromboembolism has steadily increased in the past decade, by nearly 10% per year. Deep venous thrombosis may remain completely asymptomatic during the acute phase and symptoms may occur later, due to complications. We related the case of a 9-month-old child with increasing cyanosis. A computed tomography (CT) angiography showed a thrombosis of the superior vena cava (SVC) with the development of collateral flow from the systemic to the pulmonary veins. Transcatheter shunt occlusion after SVC recanalization was successfully performed. We discussed the characteristics of these cases and the consequence on our practice in term of treatment (anticoagulation, transcatheter, intervention) and screening.

Keywords

Thrombosisinterventional cardiologysystemico-pulmonary shunt
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 3 , March 2020 , pp. 427 - 430
Copyright
© Cambridge University Press 2020

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References

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