Spontaneous Aortic Thrombosis in a Neonate: A Rare Differential Diagnosis for Aortic Coarctation

Abstract

Spontaneous aortic thrombosis is a serious clinical entity with clinical features that mimic neonatal coarctation of aorta. While both conditions manifest with weak femoral pulses, pallor and poikilothermia of lower limbs are unique to spontaneous aortic thrombosis. Proper imaging helps in precise diagnosis. A combination of thrombolysis and anticoagulation is used for resolution of thrombus. We present images of a neonate with spontaneous aortic thrombosis and its clinical management strategies.

Keywords

• alteplase
• doppler imaging
• pulselessness
• streptokinase
• thrombolysis