Catheter-Guided Dissolution of a Giant Thrombus in the Left Ventricle in a Newborn.

Autor: Kuźma J; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Karolczak MA; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Kociszewska-Najman B; Department of Neonatology, Medical University of Warsaw, Warsaw, Poland., Pająk J; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Buczyński M; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Mądry W; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Szymańska-Beta K; Department of Pediatric Anesthesiology and Intensive Therapy, Medical University of Warsaw, Warsaw, Poland., Grégoire DJ; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2021 Feb 03; Vol. 3 (2), pp. 220-224. Date of Electronic Publication: 2021 Feb 03 (Print Publication: 2021).
DOI: 10.1016/j.jaccas.2020.11.027
Abstrakt: A newborn with pulmonary hypertension due to the premature fetal arterial duct occlusion was diagnosed with a giant left ventricle thrombus. Cardiopulmonary compromise required multidrug therapy with vasopressors infusions, high-frequency oscillation, and nitric oxide. Alteplase infusion through a guiding catheter into the left atrium dissoluted the clot without sequelae. ( Level of Difficulty: Advanced. ).
Competing Interests: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2021 The Authors.)
Databáze: MEDLINE