OUR FIRST APPLICATION OF RECOMBINAN TISSUE PLASMINOGEN ACTIVATOR IN TREATMENT FOR A NEWBORN CHILD WITH CATHETER-ASSOCIATED TROMB OF THE RIGHT ATRIUM

Abstract

The article presents a case of a baby born at the Gomel Regional Clinical Hospital in 2013. The baby, born at the Gomel Regional Maternity Hospital had surgery according to life indications, severe blood loss, hemorragic shock, disseminated intravascular clotting and syndrome of multiorgan disfunction. The patient later developed a large catheter-associated trombus of the right atrium with pulmonary embolism. [1, 2, 3, 5]. We did not have any clinical experience on trombolytic therapy in newborns after hemorragic shock. We could not find any standard recommendations, descriptions of similar cases in information resources. The newborn received a recombinant tissue plasminogen activator and later we removed the central venous catheter with the remains of the trombus. The trombolysis with the recombinant tissue plasminogen activator was successful and without any complications. The baby survived and was discharged from the hospital.