title: Massive pulmonary emboli in children: does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases.
abstract: Massive pulmonary emboli is a rare disease in children, with only 39 reported cases in the last 50 years. Almost 50% of the patients died suddenly without receiving medical treatment. Most of the patients who were managed medically (70% of the treated patients) underwent surgical pulmonary embolectomy with 80% survival. Surgical pulmonary embolectomy is a blind procedure that can be improved by using intraoperative angioscopy. This technique was reported in adults with good results. In this article, we describe two pediatric patients who underwent fiber-optic-guided surgical pulmonary embolectomy. To our knowledge, this technique has never been reported in the pediatric population.
authors: Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: motti.eini@gmail.com.
authors: Zeev Motti
authors: ZM
authors: Eini
authors: Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Sion
authors: S
authors: Houri
authors: Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Ilan
authors: I
authors: Cohen
authors: Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Raheli
authors: R
authors: Sion
authors: Pediatric Cardiology Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Akiva
authors: A
authors: Tamir
authors: Department of Cardiothoracic Surgery, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Lior
authors: L
authors: Sasson
authors: Pediatric Pulmonary Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Avigdor
authors: A
authors: Mandelberg
mesh_terms: D000367:Age Factors; D000792:Angiography; D017546:Angioscopy / Q000379:methods*; D002675:Child, Preschool; D017128:Embolectomy / Q000379:methods*; D005336:Fiber Optic Technology / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome