Catheter-directed thrombolysis for in situ pulmonary artery thrombosis in children

Evyatar Hubara; Sharon Borik; Gili Kenet; David Mishaly; Amir Vardi

doi:10.4103/apc.APC_162_20

Catheter-directed thrombolysis for in situ pulmonary artery thrombosis in children

Ann Pediatr Cardiol. 2021 Apr-Jun;14(2):211-214. doi: 10.4103/apc.APC_162_20. Epub 2021 May 3.

Authors

Evyatar Hubara¹, Sharon Borik², Gili Kenet³, David Mishaly², Amir Vardi¹

Affiliations

¹ Department of Pediatric Cardiac Critical Care Medicine, Sheba Medical Center, The Edmond and Lily Safra Children's Hospital, Tel Hashomer, Israel.
² The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Tel Hashomer, Israel.
³ The Israeli National Hemophilia Center and Thrombosis Unit with The Amalia Biron Research Institute of Thrombosis and Hemostasis, Sheba Medical Center, Tel Hashomer, Israel.

Abstract

In situ pulmonary artery thrombosis (ISPAT) is a unique form of pulmonary embolism characterized by local formation of thrombus in the pulmonary arteries. We present here a baby with hypoplastic left heart syndrome who developed ISPAT after Glenn surgery. The patient underwent catheter-directed thrombolysis, followed by systemic anticoagulation with excellent results.

Keywords: Cardiac surgery; catheter-directed thrombolysis; in situ pulmonary artery thrombosis; pulmonary embolism.

Publication types

Case Reports