Case report: Central venous catheter thrombosis complicated by chronic thromboembolic disease/pulmonary hypertension in two children requiring parenteral nutrition
oleh: Maja Hanuna, Joseph Pattathu, Joscha Buech, Joscha Buech, Christine Kamla, Nikolaus Kneidinger, Nikolaus Kneidinger, Juergen Behr, Juergen Behr, Katrin Milger, Katrin Milger, Tobias Veit, Tobias Veit, Marina Nagel, Jan Abicht, Robert Dalla-Pozza, Marcus Fischer, Andre Jakob, Matthias Hermann, Rene Schramm, Laura L. Rosenthal, Nikolaus Haas, Jürgen Hörer, Jürgen Hörer, Christian Hagl, Christian Hagl, Christian Hagl, Sebastian G. Michel, Sebastian G. Michel, Sebastian G. Michel, Sebastian G. Michel, Sebastian G. Michel
| Format: | Article |
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| Diterbitkan: | Frontiers Media S.A. 2023-06-01 |
Deskripsi
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.