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Related Experiment Videos

Pulmonary embolectomy in a child.

D L Ngaage1, I Ahmed, V Chandrasekaran

  • 1Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds, United Kingdom.

The Annals of Thoracic Surgery
|May 9, 2000
PubMed
Summary

A 14-year-old boy with inherited antithrombin deficiency and a history of pulmonary embolism underwent successful pulmonary embolectomy after bilateral hip surgery. This case suggests pulmonary embolectomy is a viable option for pediatric patients with massive pulmonary embolism.

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Pulmonology
  • Thrombotic Disorders

Background:

  • Pulmonary embolism (PE) is a rare but serious condition in children, often associated with underlying risk factors.
  • Inherited thrombophilias, such as antithrombin deficiency, increase the risk of venous thromboembolism.
  • Massive PE post-orthopedic surgery presents a significant clinical challenge in pediatric patients.

Observation:

  • A 14-year-old male with a family history of PE and diagnosed antithrombin deficiency developed massive PE 18 days after bilateral hip surgery.
  • Diagnosis was confirmed using a spiral computed tomography scan, revealing extensive pulmonary artery obstruction.
  • The patient was successfully treated with pulmonary embolectomy.

Findings:

  • Pulmonary embolectomy can be a life-saving intervention for massive PE in pediatric patients, even in the context of inherited thrombophilia.

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  • Successful surgical intervention in this case highlights the potential for non-thrombolytic treatment options in complex pediatric PE scenarios.
  • The patient's recovery underscores the importance of considering surgical options for massive PE when anticoagulation alone may be insufficient or contraindicated.

    • Implications:

    • This case expands the therapeutic armamentarium for managing massive pulmonary embolism in children.
    • It emphasizes the need for early diagnosis and consideration of surgical intervention in pediatric PE, particularly in high-risk individuals.
    • Further research into the role and outcomes of pulmonary embolectomy in pediatric PE is warranted to establish definitive guidelines.