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Hanuna, M; Pattathu, J; Buech, J; Kamla, C; Kneidinger, N; Behr, J; Milger, K; Veit, T; Nagel, M; Abicht, J; Dalla-Pozza, R; Fischer, M; Jakob, A; Hermann, M; Schramm, R; Rosenthal, LL; Haas, N; Hörer, J; Hagl, C; Michel, SG.
Case report: Central venous catheter thrombosis complicated by chronic thromboembolic disease/pulmonary hypertension in two children requiring parenteral nutrition.
Front Cardiovasc Med. 2023; 10:1198204
Doi: 10.3389/fcvm.2023.1198204
(- Case Report)
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- Co-Autor*innen der Med Uni Graz
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Kneidinger Nikolaus
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Milger-Kneidinger Katrin
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- 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.
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hickmann-catheter
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pulmonary embolism
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chronic thromboembolic pulmonary hypertension
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pulmonary endarterectomy
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parenteral nutrition (PN)