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Massive Pulmonary Emboli in ChildrenFiber-optic-Guided Embolectomy: Does Fiber-optic-Guided Embolectomy Have a Role? Review of the Literature and Report of Two Cases

Zeev Motti Eini, MD; Sion Houri, MD; Ilan Cohen, MD; Raheli Sion, MD; Akiva Tamir, MD; Lior Sasson, MD; Avigdor Mandelberg, MD
Author and Funding Information

From the Pediatric Intensive Care Unit (Drs Eini, Houri, Cohen, and Sion), Pediatric Cardiology Unit (Dr Tamir), Department of Cardiothoracic Surgery (Dr Sasson), and Pediatric Pulmonary Unit (Dr Mandelberg), Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Correspondence to: Zeev Motti Eini, MD, Pediatric Intensive Care Unit, Edith Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, POB 5, Holon 58100, Israel; e-mail: motti.eini@gmail.com


Drs Eini and Houri contributed equally to this work.

Drs Sasson and Mandelberg contributed equally to this work.

Funding/Support: The secretarial help and the color pictures were graciously provided by the Save a Child’s Heart organization.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(2):544-549. doi:10.1378/chest.11-2759
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Massive 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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