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Massive bilateral pulmonary embolism in a child

Published online by Cambridge University Press:  29 June 2023

Saby Rodriguez Quero Open the ORCID record for Saby Rodriguez Quero [Opens in a new window] ,
Juan Ricardo Leon Wyss  and
Adabeyda Baez Chalas
Saby Rodriguez Quero*
Affiliation:
Department of Cardiology, Hospital Pediatrico Dr Robert Reid Cabral, Santo Domingo, Dominican Republic
Juan Ricardo Leon Wyss
Affiliation:
Department of Cardiac Surgery, Cedimat Hospital, Santo Domingo, Dominican Republic
Adabeyda Baez Chalas
Affiliation:
Department of Cardiology, Cedimat Hospital, Santo Domingo, Dominican Republic
*
Corresponding author: Saby Rodriguez Quero; Email: dra.sabyr@gmail.com
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Abstract

We describe a rare case of acute pulmonary artery thromboembolism in a 17-year-old male patient who presented to our emergency department following a syncopal episode. A chest radiograph showed a convex pulmonic cone and an increased cardiothoracic index, and two-dimensional echocardiogram suggested near-occlusion of both pulmonary arterial branches. Multi-slice pulmonary angio-tomography revealed massive thrombosis of the pulmonary artery. He was treated with systemic anticoagulation and subsequently required surgical thrombectomy, with favourable early outcome. Although the cause of the thromboembolism remains unproven, we discuss possible etiologies.

Keywords

Pulmonary embolismanticoagulationdeep vein thrombosisanabolic steroids
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 11 , November 2023 , pp. 2418 - 2421
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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