Massive Pulmonary Embolism in Children

We present 3 children with massive pulmonary embolism and review 17 recent pediatric reports. Malignancies were a frequent cause (40%), and sudden death was common (60%). Compared with adults, diagnosis was more likely to be made at autopsy ( P < .0001), more children were treated with embolectom...

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Bibliographic Details
Published inThe Journal of pediatrics Vol. 156; no. 1; pp. 148 - 151
Main Authors Baird, J. Scott, MS, MD, Killinger, James S., MD, Kalkbrenner, Kathy J., MD, Bye, Michael R., MD, Schleien, Charles L., MD, MBA
Format Journal Article
LanguageEnglish
Published Maryland Heights, MO Mosby, Inc 2010
Elsevier
Subjects
Adolescent
Biological and medical sciences
Child
Child, Preschool
Fatal Outcome
Female
General aspects
Hemoglobin SC Disease - complications
Hemosiderosis - complications
Humans
Klippel-Trenaunay-Weber Syndrome - complications
Male
Medical sciences
Pediatrics
Pneumology
Pulmonary Embolism - complications
Pulmonary Embolism - diagnosis
Pulmonary Embolism - therapy
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Pulmonary embolism
ECLS
PE
Extracorporeal life support
Human
Vascular disease
Pediatrics
Respiratory disease
Cardiovascular disease
Child
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Summary:We present 3 children with massive pulmonary embolism and review 17 recent pediatric reports. Malignancies were a frequent cause (40%), and sudden death was common (60%). Compared with adults, diagnosis was more likely to be made at autopsy ( P < .0001), more children were treated with embolectomy/thrombectomy ( P = .0006), and mortality was greater ( P = .03).
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2009.06.048