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.
Original language | English |
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Article number | 1198204 |
Journal | Frontiers in Cardiovascular Medicine |
Volume | 10 |
DOIs | |
State | Published - 2023 |
Keywords
- chronic thromboembolic pulmonary hypertension
- hickmann-catheter
- parenteral nutrition (PN)
- pulmonary embolism
- pulmonary endarterectomy