Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature

Author:

Gover Ayala12,Sharif Dawod23,Yaniv Liat23,Riskin Arieh12ORCID

Affiliation:

1. Neonatal Intensive Care Unit, Bnai-Zion Medical Center, Haifa 3339419, Israel

2. Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3200003, Israel

3. Department of Cardiology, Bnai-Zion Medical Center, Haifa 3339419, Israel

Abstract

Intracardiac thrombi in preterm infants are not common but may lead to fatal outcomes. Predisposing and risk factors include small vessel size, hemodynamic instability, immaturity of the fibrinolytic system, indwelling central catheters and sepsis. In this paper, we present our own experience with a case of a catheter-related right atrial thrombus in a preterm infant, which was successfully treated with an aspiration thrombectomy. Then, we review the literature on intracardiac thrombosis in preterm infants: epidemiology, pathophysiology, clinical signs, echocardiographic diagnostic features and treatment options are discussed.

Publisher

MDPI AG

Subject

Clinical Biochemistry

Reference62 articles.

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