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Venous thrombosis and pulmonary embolus in pediatric patients with large upper extremity venous malformations

Scott N Oishi1, Marybeth Ezaki

  • 1Department of Hand Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX 75219, USA. scott.oishi@tsrh.org

The Journal of Hand Surgery
|July 20, 2010
PubMed

Insights

Large venous malformations pose serious risks, including deep venous thrombosis and pulmonary emboli, especially in children. Early education on these life-threatening complications is crucial for patients and families.

Area of Science:

  • Vascular Surgery
  • Pediatric Medicine
  • Hematology

Background:

  • Venous malformations are congenital vascular anomalies.
  • Large venous malformations are associated with significant morbidity.
  • Current treatment strategies lack consensus.

Observation:

  • Three preadolescent patients with large upper extremity venous malformations were studied.
  • All three patients developed deep venous thrombosis.
  • Two patients experienced pulmonary emboli, with one fatality.

Findings:

  • Large upper extremity venous malformations can lead to life-threatening thrombotic events.
  • Deep venous thrombosis and pulmonary emboli are significant risks.
  • Preadolescent patients are particularly vulnerable.

Implications:

  • Increased awareness of thrombotic risks associated with venous malformations is necessary.
  • Patient and family education regarding potential sequelae is imperative.
  • Further research into optimal management strategies for large venous malformations is warranted.

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