title: [Pulmonary embolism in complex corrected congenital heart disease].
abstract: Pulmonary embolism is an uncommon but potentially fatal disease in children, especially with congenital heart disease where pulmonary perfusion depends on caval flow. Anticoagulation is the mainstay of therapy for children with pulmonary embolism. However, thrombolytic therapy can also be considered. The outcome of pediatric pulmonary embolism is uncertain and needs further investigation. We suggest increased awareness and a high index of suspicion in the presence of suggestive clinical signs in high-risk patients in order to initiate prompt diagnostic imaging and treatment.
authors.affiliation: Cardiologia e Cardiochirurgia Pediatrica e dell'Età evolutiva, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Valentina
authors.initials: V
authors.lastname: Gesuete
authors.affiliation: Cardiologia e Cardiochirurgia Pediatrica e dell'Età evolutiva, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Marianna
authors.initials: M
authors.lastname: Fabi
authors.affiliation: Cardiologia e Cardiochirurgia Pediatrica e dell'Età evolutiva, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Anna
authors.initials: A
authors.lastname: Balducci
authors.affiliation: Cardiologia e Cardiochirurgia Pediatrica e dell'Età evolutiva, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Luca
authors.initials: L
authors.lastname: Ragni
authors.affiliation: Cardiologia e Cardiochirurgia Pediatrica e dell'Età evolutiva, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Marco
authors.initials: M
authors.lastname: Bonvicini
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D002648:Child; D042241:Early Diagnosis; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents