Management of Submassive Bilateral Pulmonary Embolism in an Adolescent Female

Pulmonary embolism (PE) is a rare presentation in the pediatric population. We report a case of submassive PE in an adolescent female following commencement of a combined oral contraceptive pill (COCP). In the setting of cardiac dysfunction, she received systemic thrombolysis with significant reduct...

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Bibliographic Details
Main Authors: Adeline Yi Ling Lim, John Roy, Ajay Kevat
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2021/1678528
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Summary:Pulmonary embolism (PE) is a rare presentation in the pediatric population. We report a case of submassive PE in an adolescent female following commencement of a combined oral contraceptive pill (COCP). In the setting of cardiac dysfunction, she received systemic thrombolysis with significant reduction of clot burden and clinical improvement objectively demonstrated shortly thereafter. This case highlights challenges in clinical decision-making regarding surgical or catheter-based interventions versus medical management approaches when addressing life-threatening PE in children. Our case demonstrates that submassive PE in pediatrics can be managed successfully with systemic thrombolysis and therapeutic anticoagulation.
ISSN:2090-6846
2090-6854