Massive pulmonary emboli in children: does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases.

Abstract:

:Massive pulmonary emboli is a rare disease in children, with only 39 reported cases in the last 50 years. Almost 50% of the patients died suddenly without receiving medical treatment. Most of the patients who were managed medically (70% of the treated patients) underwent surgical pulmonary embolectomy with 80% survival. Surgical pulmonary embolectomy is a blind procedure that can be improved by using intraoperative angioscopy. This technique was reported in adults with good results. In this article, we describe two pediatric patients who underwent fiber-optic-guided surgical pulmonary embolectomy. To our knowledge, this technique has never been reported in the pediatric population.

journal_name

Chest

journal_title

Chest

authors

Eini ZM,Houri S,Cohen I,Sion R,Tamir A,Sasson L,Mandelberg A

doi

10.1378/chest.11-2759

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

544-549

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(13)60105-1

journal_volume

143

pub_type

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