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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Veröffentlicht in:	The Journal of pediatrics 2010, Vol.156 (1), p.148-151
Hauptverfasser:	Baird, J. Scott, MS, MD, Killinger, James S., MD, Kalkbrenner, Kathy J., MD, Bye, Michael R., MD, Schleien, Charles L., MD, MBA
Format:	Artikel
Sprache:	eng
Schlagworte:	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
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Zusammenfassung:	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).
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2009.06.048