Idiopathic multifocal intracardiac and pulmonary thrombosis: successful treatment with rTPA

R Holzer1, I Peart, G Ciotti

  • 1Department of Pediatric Cardiology, Royal Liverpool Children's NHS Trust, Alder Hey, Eaton Road, Liverpool, L12 2AP, United Kingdom. Holzer@doctors.org.uk

Pediatric Cardiology
|August 22, 2002
PubMed

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.

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