Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Credevo di coartare, e invece no... Un caso di una trombosi aortica neonatale

Neonatal aortic coarctation: a case report

Gaia Dimino
Scuola di Specializzazione in Pediatria, DSSPP, Presidio Ospedaliero OIRM, Universitŕ di Torino

Ottobre 2024 | DOI: 10.53126/MEBXXVIIO144

Classificazione MeSH
Cardiovascular System Blood Vessels Arteries Aorta (2)
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Congenital Abnormalities Cardiovascular Abnormalities Heart Defects, Congenital Aortic Coarctation (8)
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Congenital Abnormalities Cardiovascular Abnormalities Heart Defects, Congenital Ductus Arteriosus, Patent (10)
Persons Age Groups Infant Infant, Newborn (284)
Surgical Procedures, Operative Cardiovascular Surgical Procedures Vascular Surgical Procedures Thrombectomy (4)
Cardiovascular Diseases Vascular Diseases Embolism and Thrombosis Thrombosis (8)
Abstract
Noah was born hypotonic and cyanotic, lacked femoral pulses and required invasive ventilatory support. This condition arose the suspicion of aortic coarctation. Indeed, diagnostic imaging revealed massive aortic thrombosis with splenic, intestinal, and renal ischemia, along with bilateral iliac-femoral axis occlusion. Due to the ineffectiveness of fibrinolytic therapy and the technical impossibility of performing surgical thrombectomy, successful thromboaspiration was performed via cardiac catheterization. This procedure involved percutaneous venous access and crossing to the arterial side through the patent ductus arteriosus, resulting in revascularization of downstream areas.
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Parole chiave
Aorctic coarctation coartazione aortica Ischemia Tromboaspiration tromboaspirazione
Suggerite dall'AI
Thrombectomy
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