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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: Omejei@gosh.nhs.uk
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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

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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