title: Acute aortoiliac thrombotic occlusion in an infant with protein C deficiency and small atrial sepal defect--a rare case.
abstract: Aortoiliac thrombosis is rare in infants and neonates. Protein C deficiency is frequently observed with venous thromboembolism, but off-late report of arterial thrombosis is increasingly common. We report a case of large infrarenal aortoiliac saddle and right popliteal artery thrombosis in a 7-month-old infant, with 3-mm atrial septal defect without clinical and Doppler evidence of deep vein thrombosis, presented with acute bilateral lower limb ischemic attack. Diagnosis was made by computed tomographic (C T) angiography of aorta and bilateral lower limbs. Patient operated on in emergency by transperitoneal route. Aortoiliac and right popliteal artery thromboembolectomy with closure of aortotomy with polytetraflouroethylene patch was performed.
authors.affiliation: Department of CTVS SMS Medical College, Jaipur Rajasthan, India.
authors.forename: Raj K
authors.initials: RK
authors.lastname: Yadav
authors.forename: Vimal Kant
authors.initials: VK
authors.lastname: Yadav
authors.forename: Pradeep
authors.initials: P
authors.lastname: Pokharna
authors.forename: Rajendra M
authors.initials: RM
authors.lastname: Mathur
mesh_terms: D000208:Acute Disease; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000209:etiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000473:pathology; D006801:Humans; D007083:Iliac Artery; D007223:Infant; D020151:Protein C Deficiency / Q000150:complications*; D013927:Thrombosis / Q000209:etiology*