%0 Case Reports
%T Case report: Central venous catheter thrombosis complicated by chronic thromboembolic disease/pulmonary hypertension in two children requiring parenteral nutrition.
%A Hanuna M
%A Pattathu J
%A Buech J
%A Kamla C
%A Kneidinger N
%A Behr J
%A Milger K
%A Veit T
%A Nagel M
%A Abicht J
%A Dalla-Pozza R
%A Fischer M
%A Jakob A
%A Hermann M
%A Schramm R
%A Rosenthal LL
%A Haas N
%A Hörer J
%A Hagl C
%A Michel SG
%J Front Cardiovasc Med
%V 10
%N 0
%D 2023
%M 37363098
%F 5.846
%R 10.3389/fcvm.2023.1198204
%X Chronic thromboembolic pulmonary hypertension is a rare but life-threatening complication of long-term central venous catheters (CVC) in children. However, evidence in terms of potential treatment strategies and outcome data remains scarce. We describe two cases of CVC-related thrombosis (Hickman-catheter) complicated by recurrent pulmonary emboli. One patient experienced a complete thromboembolic obstruction of the right pulmonary artery with normal pulmonary pressures and the second patient suffered from a central thromboembolic obstruction of both pulmonary arteries associated with severe pulmonary hypertension. Both patients successfully underwent surgical thromboendarterectomy with deep hypothermic circulatory arrest.