Case report: Central venous catheter thrombosis complicated by chronic thromboembolic disease/pulmonary hypertension in two children requiring parenteral nutrition.

chronic thromboembolic pulmonary hypertension hickmann-catheter parenteral nutrition (PN) pulmonary embolism pulmonary endarterectomy

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2023
Historique:
received: 31 03 2023
accepted: 19 05 2023
medline: 26 6 2023
pubmed: 26 6 2023
entrez: 26 6 2023
Statut: epublish

Résumé

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.

Identifiants

pubmed: 37363098
doi: 10.3389/fcvm.2023.1198204
pmc: PMC10285210
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1198204

Informations de copyright

© 2023 Hanuna, Pattathu, Buech, Kamla, Kneidinger, Behr, Milger, Veit, Nagel, Abicht, Dalla-Pozza, Fischer, Jakob, Hermann, Schramm, Rosenthal, Haas, Hörer, Hagl and Michel.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Front Pediatr. 2020 Jul 24;8:363
pubmed: 32850520
J Heart Lung Transplant. 2021 Nov;40(11):1301-1326
pubmed: 34420851
Clin Nutr. 2018 Dec;37(6 Pt B):2418-2429
pubmed: 30033173
Pulm Circ. 2019 Nov 7;9(4):2045894019886249
pubmed: 32284848
Nephrol Dial Transplant. 2012 Jul;27(7):2936-44
pubmed: 22187317
Pediatr Pulmonol. 2021 Jun;56(6):1690-1693
pubmed: 33634582
JPEN J Parenter Enteral Nutr. 2012 Jul;36(4):456-62
pubmed: 22245761
J Pediatr Surg. 2016 May;51(5):790-3
pubmed: 26936289
Pediatr Nephrol. 2021 May;36(5):1245-1254
pubmed: 33125532
JPEN J Parenter Enteral Nutr. 2022 Jul;46(5):1036-1044
pubmed: 34719795
J Thorac Cardiovasc Surg. 2019 Jun;157(6):e409-e410
pubmed: 30952537
JPEN J Parenter Enteral Nutr. 2008 Jan-Feb;32(1):88-93
pubmed: 18165453
Clin Nutr. 2018 Dec;37(6 Pt B):2379-2391
pubmed: 30055869
J Thorac Cardiovasc Surg. 2011 Mar;141(3):624-30
pubmed: 20800245
Hematol Transfus Cell Ther. 2022 Apr 2;:
pubmed: 35400623
J Vasc Access. 2020 May;21(3):300-307
pubmed: 31552793
Circulation. 2016 Mar 1;133(9):859-71
pubmed: 26826181
Clin Nutr. 2016 Dec;35(6):1406-1413
pubmed: 27086197
J Thorac Cardiovasc Surg. 1999 Nov;118(5):953-4; discussion 957
pubmed: 10534703
Lancet. 2012 Feb 11;379(9815):537-46
pubmed: 22240409
Turk J Pediatr. 2018;60(5):604-607
pubmed: 30968628
Eur Respir Rev. 2017 Mar 29;26(143):
pubmed: 28356405
Front Pediatr. 2017 Aug 10;5:170
pubmed: 28848725

Auteurs

Maja Hanuna (M)

Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.

Joseph Pattathu (J)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Joscha Buech (J)

Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.
Munich Heart Alliance, German Center for Cardiovascular Research (DZHK), Munich, Germany.

Christine Kamla (C)

Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.

Nikolaus Kneidinger (N)

Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Department of Medicine V, Pulmonology, Ludwig Maximilian University Munich, Munich, Germany.

Juergen Behr (J)

Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Department of Medicine V, Pulmonology, Ludwig Maximilian University Munich, Munich, Germany.

Katrin Milger (K)

Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Department of Medicine V, Pulmonology, Ludwig Maximilian University Munich, Munich, Germany.

Tobias Veit (T)

Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Department of Medicine V, Pulmonology, Ludwig Maximilian University Munich, Munich, Germany.

Marina Nagel (M)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Jan Abicht (J)

Department of Anesthesiology, Ludwig Maximilian University Munich, Munich, Germany.

Robert Dalla-Pozza (R)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Marcus Fischer (M)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Andre Jakob (A)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Matthias Hermann (M)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Rene Schramm (R)

Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany.

Laura L Rosenthal (LL)

Division of Congenital and Pediatric Heart Surgery, Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.

Nikolaus Haas (N)

Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilian University Munich, Munich, Germany.

Jürgen Hörer (J)

Division of Congenital and Pediatric Heart Surgery, Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.
Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technical University of Munich, Munich, Germany.

Christian Hagl (C)

Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.
Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Munich Heart Alliance, German Center for Cardiovascular Research (DZHK), Munich, Germany.

Sebastian G Michel (SG)

Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.
Munich Heart Alliance, German Center for Cardiovascular Research (DZHK), Munich, Germany.
Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany.
Division of Congenital and Pediatric Heart Surgery, Department of Cardiac Surgery, Ludwig Maximilian University Munich, Munich, Germany.
Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technical University of Munich, Munich, Germany.

Classifications MeSH