• Chest · Feb 2013

    Review Case Reports

    Massive pulmonary emboli in children: does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases.

    • Zeev Motti Eini, Sion Houri, Ilan Cohen, Raheli Sion, Akiva Tamir, Lior Sasson, and Avigdor Mandelberg.
    • Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. motti.eini@gmail.com
    • Chest. 2013 Feb 1;143(2):544-9.

    AbstractMassive 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.

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