Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-23T12:46:32.749Z Has data issue: false hasContentIssue false
  • English
  • Français

Aortic arch thrombectomy in a 2.8 kilogram neonate – a case report and review of the literature

Published online by Cambridge University Press:  07 March 2012

Ikenna Omeje ,
Awat Ram  and
Martin Kostolny
Ikenna Omeje*
Affiliation:
Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London, United Kingdom
Awat Ram
Affiliation:
Department of Cardiology, Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom
Martin Kostolny
Affiliation:
Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London, United Kingdom
*
Correspondence to: Dr I. Omeje, MD, PhD, Cardiothoracic Unit, Great Ormond Street Hospital for Children, London WC1N 3JH, United Kingdom. Tel: +44 2074059200, ext. 5730; Fax: +44 2074301281; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Aortic arch thrombus is a rare occurrence in neonates. In the few described cases, this has mainly been associated with sepsis or early postnatal interventions, such as insertion of umbilical arterial line. We describe a case of occlusive aortic arch thrombus in a neonate who presented with signs of critical coarctation and successfully underwent surgical thrombectomy on deep hypothermic circulatory arrest. We also present a review of the most recently published cases of aortic arch thrombus in neonates and the treatment options employed.

Keywords

Aortathrombuscirculatory arrest
Type
Brief Report
Information
Cardiology in the Young , Volume 23 , Issue 1 , February 2013 , pp. 117 - 120
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Francis, JV, Monagle, P, Hope, S, Sehgal, A. Occlusive aortic arch thrombus in a preterm neonate. Pediatr Crit Care Med 2010; 11: e13–e15.Google Scholar
2. Sharathkumar, AA, Lamear, N, Pipe, S, et al. Management of neonatal aortic arch thrombosis with low molecular weight heparin: a case series. J Pediatr Hematol Oncol 2009; 31: 516–521.Google Scholar
3. Kenny, D, Tsai-Goodman, B. Neonatal arterial thrombus mimicking congenital heart disease. Arch Dis Child Fetal Neonatal Ed 2007; 92: F59–F61.Google Scholar
4. Metsvaht, T, Hermlin, T, Kern, H, Kahre, T, Starkopf, J. Aortic arch thrombosis in a neonate with heterozygous carrier status of factor V Leiden mutation. Congenit Heart Dis 2006; 1: 40–45.Google Scholar
5. Das, BB, Sahoo, S, Ivy, DD. Neonatal aortic arch thrombosis masquerading as coarctation of the aorta. Pediatr Cardiol 2004; 25: 80–83.CrossRefGoogle ScholarPubMed
6. Lanari, M, Lazzarotto, T, Papa, I, et al. Neonatal aortic arch thrombosis as a result of congenital cytomegalovirus infection. Pediatrics 2001; 108: E114.CrossRefGoogle ScholarPubMed
7. Sahu, JK, Saxena, A, Talesra, K. Severe aortic thrombosis in a newborn diagnosed at birth. Indian J Pediatr 2006; 73: 946–950.Google Scholar
8. Zeevi, B, Berant, M. Spontaneous aortic arch thrombosis in a neonate. Heart 1999; 81: 560.Google Scholar