Resolution of atrial thrombosis with heparin in a newborn with

Acta paediatrica · Jul 2009

Case Reports

Resolution of atrial thrombosis with heparin in a newborn with atrial flutter.

Atrial thrombosis is a relatively rare event in children. We report a case of a newborn with AFI who after restoration of sinus rhythm, developed atrial thrombus on a prominent Chiari network floating between the right and left atrium through the patent foramen ovale. The thrombus was resolved following treatment with heparin without events. ⋯ Atrial stunning was proposed as a key mechanistic phenomenon because the thrombus occurred after the cardioversion of AFI to sinus rhythm. Heparin may be effective in the resolution of atrial thrombus within a few days.

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- Gabriele Bronzetti, Cinzia D'Angelo, Andrea Angelini, Fernando Maria Picchio, and Giuseppe Boriani.
- Pediatric Cardiology and Adult Congenital Unit, University of Bologna, Bologna (BO), Italy. gabronz@hotmail.com
- Acta Paediatr. 2009 Jul 1; 98 (7): 1211-4.
UnlabelledAtrial thrombosis is a relatively rare event in children. We report a case of a newborn with AFI who after restoration of sinus rhythm, developed atrial thrombus on a prominent Chiari network floating between the right and left atrium through the patent foramen ovale. The thrombus was resolved following treatment with heparin without events.ConclusionAtrial stunning was proposed as a key mechanistic phenomenon because the thrombus occurred after the cardioversion of AFI to sinus rhythm. Heparin may be effective in the resolution of atrial thrombus within a few days.

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Resolution of atrial thrombosis with heparin in a newborn with atrial flutter.

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