Aortic arch thrombectomy in a 2.8 kilogram neonate--a case

Cardiology in the young · Feb 2013

Review Case Reports

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

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.

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- Ikenna Omeje, Awat Ram, and Martin Kostolny.
- Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom. Omejei@gosh.nhs.uk
- Cardiol Young. 2013 Feb 1;23(1):117-20.
AbstractAortic 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.

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

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