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The risk of postthrombotic syndrome in children with congenital heart disease.
van Ommen, C Heleen; Ottenkamp, Jaap; Lam, Jan; Brennickmeier, Machteld; Heijmans, Hugo S A; Büller, Harry R; Peters, Marjolein.
Afiliação
  • van Ommen CH; Department of Pediatrics, University of Amsterdam Academic Medical Centre, Emma Children's Hospital, Amsterdam, The Netherlands.
J Pediatr ; 141(4): 582-6, 2002 Oct.
Article em En | MEDLINE | ID: mdl-12378202
The lower extremities of 28 unselected children with congenital heart disease were investigated and classified according to the criteria for postthrombotic syndrome five to ten years after their first cardiac catheterization. For the clinical criteria, all patients completed a questionnaire and underwent a standardized physical examination of both legs. For the pathophysiologic criteria, the presence of venous outflow obstruction and reflux was evaluated by color duplex sonography in 24 of the 28 patients. Mild postthrombotic syndrome was present in half the patients. Partial or complete occlusion of the investigated vein was found in four patients (17%). In all patients studied, the venous valves of the deep system were competent. Postthrombotic syndrome frequently occurs in children with congenital heart disease. Prospective studies seem to be justified to investigate the precise incidence and potential risk factors.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome Pós-Flebítica / Cardiopatias Congênitas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: J Pediatr Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome Pós-Flebítica / Cardiopatias Congênitas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: J Pediatr Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos