TY - JOUR
T1 - The ghost of catheter's past
T2 - An embolized calcified fibrin sheath after port replacement in a pediatric patient
AU - Ladd, Mitchell R.
AU - Jones, R. Ellen
AU - Alsaad, Ranim
AU - Alaish, Samuel M.
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/11
Y1 - 2022/11
N2 - Herein, we present a rare, although important complication of central venous access in pediatric surgery. Upon exchange of a port, this patient was found to have a calcified fibrin sheath that had embolized into the right pulmonary artery system. Initially, this diagnosis was unclear as it was thought to have been a fractured portion of the catheter. Thus, the patient required multiple diagnostic studies, including a cardiac catheterization to make the final diagnosis. Ultimately, she was treated with anticoagulation and did well. This report highlights the imaging findings of this complication, the diagnostic dilemma it creates, the potential significant consequences, as well as one approach of managing patients with an embolized fibrin sheath from a central venous catheter.
AB - Herein, we present a rare, although important complication of central venous access in pediatric surgery. Upon exchange of a port, this patient was found to have a calcified fibrin sheath that had embolized into the right pulmonary artery system. Initially, this diagnosis was unclear as it was thought to have been a fractured portion of the catheter. Thus, the patient required multiple diagnostic studies, including a cardiac catheterization to make the final diagnosis. Ultimately, she was treated with anticoagulation and did well. This report highlights the imaging findings of this complication, the diagnostic dilemma it creates, the potential significant consequences, as well as one approach of managing patients with an embolized fibrin sheath from a central venous catheter.
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U2 - 10.1016/j.epsc.2022.102448
DO - 10.1016/j.epsc.2022.102448
M3 - Article
AN - SCOPUS:85137405979
SN - 2213-5766
VL - 86
JO - Journal of Pediatric Surgery Case Reports
JF - Journal of Pediatric Surgery Case Reports
M1 - 102448
ER -