Hostname: page-component-745bb68f8f-mzp66 Total loading time: 0 Render date: 2025-01-12T09:18:38.839Z Has data issue: false hasContentIssue false
  • English
  • Français

Massive bilateral pulmonary embolism in a child

Published online by Cambridge University Press:  29 June 2023

Saby Rodriguez Quero Open the ORCID record for Saby Rodriguez Quero [Opens in a new window] ,
Juan Ricardo Leon Wyss  and
Adabeyda Baez Chalas
Saby Rodriguez Quero*
Affiliation:
Department of Cardiology, Hospital Pediatrico Dr Robert Reid Cabral, Santo Domingo, Dominican Republic
Juan Ricardo Leon Wyss
Affiliation:
Department of Cardiac Surgery, Cedimat Hospital, Santo Domingo, Dominican Republic
Adabeyda Baez Chalas
Affiliation:
Department of Cardiology, Cedimat Hospital, Santo Domingo, Dominican Republic
*
Corresponding author: Saby Rodriguez Quero; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe a rare case of acute pulmonary artery thromboembolism in a 17-year-old male patient who presented to our emergency department following a syncopal episode. A chest radiograph showed a convex pulmonic cone and an increased cardiothoracic index, and two-dimensional echocardiogram suggested near-occlusion of both pulmonary arterial branches. Multi-slice pulmonary angio-tomography revealed massive thrombosis of the pulmonary artery. He was treated with systemic anticoagulation and subsequently required surgical thrombectomy, with favourable early outcome. Although the cause of the thromboembolism remains unproven, we discuss possible etiologies.

Keywords

Pulmonary embolismanticoagulationdeep vein thrombosisanabolic steroids
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 11 , November 2023 , pp. 2418 - 2421
Check for updates
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Herkert, O, Kuhl, H, Sandow, J, Busse, R, Schini-Kerth, V. Sex steroids used in hormonal treatment increase vascular procoagulant activity by inducing thrombin receptor (PAR-1) expression. Role of the glucocorticoid receptor. Circulation 2001; 104: 2826–2831.10.1161/hc4801.099737CrossRefGoogle ScholarPubMed
Ajayi, AA, Mathur, R, Halushka, PV. Testosterone increases human platelet thromboxane A2 receptor density and aggregation response. Circulation 1995; 91: 2742–2747.10.1161/01.CIR.91.11.2742CrossRefGoogle Scholar
Konstantinides, S, Meyer, G, Becattini, C, et al. 2019 European society of cardiology guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the european respiratory society: the task force for the diagnosis and management of acute pulmonary embolism of the european society of cardiology. Euro Heart J 2020; 41: 543–603.10.1093/eurheartj/ehz405CrossRefGoogle Scholar
Liljeqvist, S, Helldén, A, Bergman, U, Söderberg, M. Pulmonary embolism associated with the use of anabolic steroids. Euro J Internal Med 2008; 19: 214–215.10.1016/j.ejim.2007.03.016CrossRefGoogle ScholarPubMed
Kloner, R, Carson, C, Dobs, A, Kopecky, S, Mohler, E. Testosterone and cardiovascular disease. J Am Coll Cardiol 2016; 67: 545–557.10.1016/j.jacc.2015.12.005CrossRefGoogle ScholarPubMed