Acute pulmonary embolism in a neonate: Precipitation during cardiac catheterization and successful treatment

被引:7
作者
Abdurrahman, L
Adatia, I
Mayer, JE
Moore, P
Treves, ST
机构
[1] Harvard Univ, Sch Med, Childrens Hosp, Dept Cardiol, Boston, MA USA
[2] Harvard Univ, Sch Med, Childrens Hosp, Dept Cardiac Surg, Boston, MA USA
[3] Harvard Univ, Sch Med, Childrens Hosp, Dept Nucl Med, Boston, MA USA
关键词
catheterization; embolism; pulmonary; neonatal;
D O I
10.1007/s002469900345
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report illustrates the rare occurrence of a pulmonary embolus in a neonate during cardiac catheterization. The patient was a term newborn who underwent repair of obstructed infradiaphragmatic total anomalous pulmonary venous connection. Postoperative risk factors for pulmonary embolism included severe pulmonary hypertension unresponsive to nitric oxide therapy, an indwelling venous catheter, and young age. Successful management was achieved by initial mechanical fragmentation with streptokinase infusion and monitoring by serial lung perfusion scans.
引用
收藏
页码:431 / 435
页数:5
相关论文
共 13 条
[1]   CENTRAL VENOUS LINE THROMBOSIS IN PREMATURE-INFANTS - A CASE-MANAGEMENT AND LITERATURE-REVIEW [J].
ALKALAY, AL ;
MAZKERETH, R ;
SANTULLI, T ;
POMERANCE, JJ .
AMERICAN JOURNAL OF PERINATOLOGY, 1993, 10 (04) :323-326
[2]  
*AM HEART ASS, 1973, CIRCULATION S2, V47, P7
[3]   VENOUS THROMBOEMBOLIC COMPLICATIONS (VTE) IN CHILDREN - FIRST ANALYSES OF THE CANADIAN REGISTRY OF VTE [J].
ANDREW, M ;
DAVID, M ;
ADAMS, M ;
ALI, K ;
ANDERSON, R ;
BARNARD, D ;
BERNSTEIN, M ;
BRISSON, L ;
CAIRNEY, B ;
DESAI, D ;
GRANT, R ;
ISRAELS, S ;
JARDINE, L ;
LUKE, B ;
MASSICOTTE, P ;
SILVA, M .
BLOOD, 1994, 83 (05) :1251-1257
[4]  
[Anonymous], JAMA
[5]  
Benitz WE, 1988, PEDIAT DRUG HDB
[6]   PULMONARY-EMBOLISM IN CHILDREN [J].
BUCK, JR ;
CONNORS, RH ;
COON, WW ;
WEINTRAUB, WH ;
WESLEY, JR ;
CORAN, AG .
JOURNAL OF PEDIATRIC SURGERY, 1981, 16 (03) :385-391
[7]   NEONATAL PULMONARY INFARCTION - A CAUSE OF CYST-LIKE LUCENCIES ON THE CHEST ROENTGENOGRAM [J].
BURROWS, PE ;
LEAHY, FA ;
REED, MH .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1983, 137 (01) :61-64
[8]  
DANTZKER DR, 1981, AM REV RESPIR DIS, V124, P129
[9]   VENOUS THROMBOEMBOLIC COMPLICATIONS IN CHILDREN [J].
DAVID, M ;
ANDREW, M .
JOURNAL OF PEDIATRICS, 1993, 123 (03) :337-346
[10]   THROMBOSIS AND EMBOLISM IN LONG-TERM CENTRAL VENOUS ACCESS FOR PARENTERAL-NUTRITION [J].
DOLLERY, CM ;
SULLIVAN, ID ;
BAURAIND, O ;
BULL, C ;
MILLA, PJ .
LANCET, 1994, 344 (8929) :1043-1045