Document Detail


CLOVES syndrome with thoracic and central phlebectasia: increased risk of pulmonary embolism.
MedLine Citation:
PMID:  20537357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: CLOVES syndrome (congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and skeletal/scoliosis and spinal abnormalities) is a rare, complex overgrowth syndrome with serious morbidity. In this communication we studied the presence of central and thoracic phlebectasia in patients with CLOVES syndrome and its clinical implications. METHODS: We conducted a comprehensive search of our databases at Children's Hospital Boston over the last 10 years (1999-2008) for patients with CLOVES syndrome and central and thoracic phlebectasia. Medical records, clinical photographs, and imaging studies of varying modalities were reviewed. RESULTS: Review of the clinical data and imaging studies of 12 patients with CLOVES syndrome documented the presence of central and thoracic phlebectasia in 11 patients. Two patients had serious perioperative pulmonary embolism, and 1 died. CONCLUSIONS: Central and thoracic phlebectasia in patients with CLOVES syndrome is common and increases the risk of pulmonary embolism. Aggressive prophylactic measures should be considered before major interventions.
Authors:
Ahmad I Alomari; Patricia E Burrows; Edward Y Lee; Daniel J Hedequist; John B Mulliken; Steven J Fishman
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Publication Detail:
Type:  Journal Article     Date:  2010-05-27
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  140     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  459-63     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Vascular and Interventional Radiology, Children's Hospital Boston and Harvard Medical School, Boston, Mass 02115, USA. ahmad.alomari@childrens.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple*
Adolescent
Anticoagulants / therapeutic use
Boston
Child
Child, Preschool
Databases as Topic
Dilatation, Pathologic
Female
Humans
Infant
Lipomatosis / congenital*,  pathology
Male
Nevus / congenital*,  pathology
Phlebography
Pulmonary Embolism / etiology*,  mortality,  pathology,  prevention & control
Retrospective Studies
Risk Assessment
Risk Factors
Scoliosis / congenital*,  pathology
Skin Neoplasms / congenital*
Spinal Cord / abnormalities*
Syndrome
Tomography, X-Ray Computed
Treatment Outcome
Vascular Malformations / complications*,  pathology
Veins / pathology*
Vena Cava Filters
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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