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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

Information

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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