Related Experiment Video
Updated: Aug 18, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Idiopathic multifocal intracardiac and pulmonary thrombosis: successful treatment with rTPA
1Department of Pediatric Cardiology, Royal Liverpool Children's NHS Trust, Alder Hey, Eaton Road, Liverpool, L12 2AP, United Kingdom. Holzer@doctors.org.uk
Insights
Idiopathic intracardiac and pulmonary thrombosis in a child was successfully treated with recombinant tissue plasminogen activator (rTPA). This case highlights the importance of considering cardiopulmonary thrombosis in pediatric respiratory distress.
Area of Science:
- Pediatric Cardiology
- Hematology
- Pulmonology
Background:
- Idiopathic intracardiac and pulmonary thrombosis is a rare but serious condition in children.
- Respiratory distress is a common presenting symptom in pediatric cardiopulmonary diseases.
Observation:
- A 21-month-old boy presented with a one-month history of respiratory symptoms.
- The patient was diagnosed with idiopathic multichamber intracardiac and pulmonary thrombosis.
Findings:
- Successful treatment of pediatric intracardiac and pulmonary thrombosis was achieved using recombinant tissue plasminogen activator (rTPA).
- Review of literature and reported cases provides insights into etiology and risk factors.
Implications:
- Cardiopulmonary thrombosis should be considered in the differential diagnosis of respiratory distress in children.
- rTPA is a viable therapeutic option for pediatric intracardiac and pulmonary thrombosis.
Abstract:
A 21-month-old boy with respiratory symptoms for one month secondary to idiopathic multichamber intracardiac and pulmonary thrombosis is presented who was successfully treated with recombinant tissue plasminogen activator (rTPA). The etiology and risk factors of pediatric intracardiac thrombosis are discussed and the literature and all reported cases are reviewed. It is important to consider cardiopulmonary thrombosis as a differential diagnosis of respiratory distress in childhood.
Related Concept Videos
Cardiomyopathy IV: Restrictive Cardiomyopathy
Venous Thrombosis III: Interprofessional Care
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

