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A case of pulmonary thromboembolism in a healthy infant

Korean Journal of Pediatrics 2007;50(10):1030-1033.
Published online October 15, 2007.
A case of pulmonary thromboembolism in a healthy infant
Woo-Yeon Choi, Young-Seok Choi, Soo-Min Oh, Young-Kuk Cho, Jae-Sook Ma
Department of Pediatrics, Chonnam National University Medical School, Gwang-ju, Korea
건강한 영아에서 발생한 폐혈전색전증 1례
최우연, 최영석, 오수민, 조영국, 마재숙
전남대학교 의과대학 소아과학교실
Correspondence: 
Jae-Sook Ma, Email: gsoo@jnu.ac.kr
Abstract
A pulmonary thromboembolism (PTE), which is a sudden blockage in a pulmonary artery, usually due to a blood clot, is rare in children. The clinical presentation is often subtle or masked by the underlying clinical condition and the condition must be suspected during clinical testing. Although the choice of treatment depends on the clinical presentation, anticoagulation is the mainstay of therapy for children with PTE. We report the case of a healthy 1-month-old boy who presented with hemoptysis without hemodynamic instability. He was diagnosed based on chest computed tomography with angiography and 99mTc macroaggregated albumin lung perfusion scintigraphy and treated with low-molecular-weight heparin.
Key Words: Pulmonary thromboembolism, Infant, Low molecular weight heparin


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