Affiliation:
1. Pirogov Russian National Research Medical University
Abstract
Background. Neonatal thromboses, both venous and arterial, are a rare pathology, and experience in systemic thrombolysis is very low. Thus, the methods of adult management are currently being adapted to pediatric practice.Clinical case description. This report describes clinical case of abdominal aortic thrombosis in a premature infant with later diagnosed Wolff-ParkinsonWhite syndrome and acquired hypothyroidism developed due to antiarrhythmic therapy.Conclusion. The premature boy had high comorbidity that required many specialists’ involvement. Timely systemic thrombolytic therapy and antiarrhythmic drugs selection made it possible to save the child's life and most likely to avoid disability in the future.
Publisher
Paediatrician Publishers LLC
Subject
Pulmonary and Respiratory Medicine,Pediatrics, Perinatology and Child Health
Reference11 articles.
1. Bokaryov IN, Popova LV. Modern problems of arteries and veins thromboses. Practical Medicine. 2014;(6):13–17. (In Russ).
2. Svirin PV, Roumiantsev SA, Larina LE, et al. Neonatal thrombosis: treatment regimen. Neonatology. News. Opinions. Training. 2013;(1):76–85. (In Russ).
3. Shaik M, Patel D, Mihir B, et al. Epidemiology, Diagnosis and Management of Neonatal Thrombosis. Blood. 2019;134(Suppl 1):3656. doi: https://doi.org/10.1182/blood-2019-129914
4. Dieffenbach BV, Nath BD, Tracy ET, Kim HB. Management of symptomatic neonatal aortic thrombosis: When is surgery indicated? J Pediatr Surg Case Rep. 2019;47:101247. doi: https://doi.org/10.1016/j.epsc.2019.101247
5. Chhabra L, Goyal A, Benham MD. Wolff Parkinson White Syndrome. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.