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Case report: Central venous catheter thrombosis complicated by chronic thromboembolic disease/pulmonary hypertension in two children requiring parenteral nutrition

Authors :
Maja Hanuna
Joseph Pattathu
Joscha Buech
Christine Kamla
Nikolaus Kneidinger
Juergen Behr
Katrin Milger
Tobias Veit
Marina Nagel
Jan Abicht
Robert Dalla-Pozza
Marcus Fischer
Andre Jakob
Matthias Hermann
Rene Schramm
Laura L. Rosenthal
Nikolaus Haas
Jürgen Hörer
Christian Hagl
Sebastian G. Michel
Source :
Frontiers in Cardiovascular Medicine, Vol 10 (2023)
Publication Year :
2023
Publisher :
Frontiers Media S.A., 2023.

Abstract

Chronic thromboembolic pulmonary hypertension is a rare but life-threatening complication of long-term central venous catheters (CVC) in children. However, evidence in terms of potential treatment strategies and outcome data remains scarce. We describe two cases of CVC-related thrombosis (Hickman-catheter) complicated by recurrent pulmonary emboli. One patient experienced a complete thromboembolic obstruction of the right pulmonary artery with normal pulmonary pressures and the second patient suffered from a central thromboembolic obstruction of both pulmonary arteries associated with severe pulmonary hypertension. Both patients successfully underwent surgical thromboendarterectomy with deep hypothermic circulatory arrest.

Details

Language :
English
ISSN :
2297055X
Volume :
10
Database :
Directory of Open Access Journals
Journal :
Frontiers in Cardiovascular Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.7f7b69bb66b3441889341eae437e4736
Document Type :
article
Full Text :
https://doi.org/10.3389/fcvm.2023.1198204