Resolution of cor pulmonale after medical management in a patient with cblC-type methylmalonic aciduria and homocystinuria: A case report

Laurie Profitlich, Brian Kirmse, Melissa P. Wasserstein, George Diaz, Shubhika Srivastava

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

We describe a 3-year-old Hispanic male with cblC-type methylmalonic aciduria and homocystinuria who presented to the emergency department with progressive tachypnea, vomiting, and edema secondary to pulmonary embolism and cor pulmonale. With aggressive medical management, there was complete resolution of right heart failure and pulmonary hypertension after 3 months. Pulmonary embolism is rare in the pediatric population. Children with cblC-type methylmalonic aciduria and homocystinuria may be at increased risk for thrombus formation and pulmonary embolism due to chronic hyperhomocystinemia, a risk factor for thrombus formation in the adult population. Aspirin therapy may be indicated in children with inborn errors of metabolism that predispose to hyperhomocystinemia.

Original languageEnglish (US)
Article number8603
JournalCases Journal
Volume2
Issue number7
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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