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

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