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

Jacek Kuźma, MD; Maciej A. Karolczak, PHD; Bożena Kociszewska-Najman, PHD; Jacek Pająk, PHD; Michał Buczyński, MD; Wojciech Mądry, MD; Katarzyna Szymańska–Beta, MD; Darren J. Grégoire, MD

JACC: Case Reports (Feb 2021)

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

Jacek Kuźma, MD,
Maciej A. Karolczak, PHD,
Bożena Kociszewska-Najman, PHD,
Jacek Pająk, PHD,
Michał Buczyński, MD,
Wojciech Mądry, MD,
Katarzyna Szymańska–Beta, MD,
Darren J. Grégoire, MD

Affiliations

Jacek Kuźma, MD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland; Address for correspondence: Dr. Jacek Kuźma, Division of Cardiac Surgery and General Surgery, Pediatric Hospital Medical University of Warsaw, Żwirki i Wigury 63A, 02-091 Warsaw, Poland.
Maciej A. Karolczak, PHD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland
Bożena Kociszewska-Najman, PHD: Department of Neonatology, Medical University of Warsaw, Warsaw, Poland
Jacek Pająk, PHD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland
Michał Buczyński, MD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland
Wojciech Mądry, MD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland
Katarzyna Szymańska–Beta, MD: Department of Pediatric Anesthesiology and Intensive Therapy, Medical University of Warsaw, Warsaw, Poland
Darren J. Grégoire, MD: Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland

Journal volume & issue: Vol. 3, no. 2
pp. 220 – 224

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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