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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 ,
Yasar Birkan ,
Figen Akalın  and
Deniz Günay
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: korayakmd@gmail.com
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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.

Keywords

Massive pulmonary embolismcardiac arrestembolectomyadolescent
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 8 , August 2019 , pp. 1094 - 1096
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: 148–151.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: 915–921.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: 35–40.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: 1373–1382.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: 18–22.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: 544–549.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: 66–72.CrossRefGoogle ScholarPubMed
Akam-Venkata, J, Forbes, TJ, Schreiber, T, et al. Catheter-directed therapy for acute pulmonary embolism in children. Cardiol Young 2018; 21: 1–7.Google Scholar