The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient
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 thoug...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-11-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002755 |
| _version_ | 1797995895038410752 |
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| author | Mitchell R. Ladd R. Ellen Jones Ranim Alsaad Samuel M. Alaish |
| author_facet | Mitchell R. Ladd R. Ellen Jones Ranim Alsaad Samuel M. Alaish |
| author_sort | Mitchell R. Ladd |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T10:08:50Z |
| format | Article |
| id | doaj.art-da30b2e2ce654c53820fc73950f837d0 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-11T10:08:50Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-da30b2e2ce654c53820fc73950f837d02022-12-22T04:30:10ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-11-0186102448The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patientMitchell R. Ladd0R. Ellen Jones1Ranim Alsaad2Samuel M. Alaish3Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USACorresponding author. Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Bloomberg Tower Office 7337, Baltimore, MD, 21287, USA.; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USAHerein, 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.http://www.sciencedirect.com/science/article/pii/S2213576622002755 |
| spellingShingle | Mitchell R. Ladd R. Ellen Jones Ranim Alsaad Samuel M. Alaish The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient Journal of Pediatric Surgery Case Reports |
| title | The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient |
| title_full | The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient |
| title_fullStr | The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient |
| title_full_unstemmed | The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient |
| title_short | The ghost of catheter's past: An embolized calcified fibrin sheath after port replacement in a pediatric patient |
| title_sort | ghost of catheter s past an embolized calcified fibrin sheath after port replacement in a pediatric patient |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622002755 |
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