Massive pulmonary embolism

Thromboembolism, such as a massive pulmonary embolism, seems to be an increasing pediatric problem. In this issue of The Journal, Baird et al from the Columbia University College of Physicians and Surgeons present 3 children with massive pulmonary embolism and review 17 recent reports. They note that malignancies were a frequent cause of the pulmonary embolism and that sudden death was common, occurring in 60% of cases. Unfortunately, compared with adults, diagnosis is more likely to be made at autopsy, and the mortality is significantly greater in children.