title: Aortic arch thrombectomy in a 2.8 kilogram neonate--a case report and review of the literature.
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.
authors.affiliation: Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom. Omejei@gosh.nhs.uk
authors.forename: Ikenna
authors.initials: I
authors.lastname: Omeje
authors.forename: Awat
authors.initials: A
authors.lastname: Ram
authors.forename: Martin
authors.initials: M
authors.lastname: Kostolny
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000000981:diagnostic imaging; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D007231:Infant, Newborn; D013348:Subclavian Artery / Q000000981:diagnostic imaging; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography