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

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 g...

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Published inJACC. Case reports Vol. 3; no. 2; pp. 220 - 224
Main Authors Kuźma, Jacek, Karolczak, Maciej A., Kociszewska-Najman, Bożena, Pająk, Jacek, Buczyński, Michał, Mądry, Wojciech, Szymańska–Beta, Katarzyna, Grégoire, Darren J.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.02.2021
Elsevier
Subjects
anticoagulation
atrial flutter
left-sided catheterization
Mini-Focus Issue: Congenital Heart Disease
pulmonary hypertension
thrombus
RR
RV
TTE
atrial flutter
pulmonary hypertension
rTPA
anticoagulation
FO
LV
thrombus
RA
LA
left-sided catheterization
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Summary: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.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.11.027