Title |
Spontaneous pulmonary artery thrombus in a neonate
|
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Published in |
The Egyptian Heart Journal, May 2021
|
DOI | 10.1186/s43044-021-00167-4 |
Pubmed ID | |
Authors |
Y. S. Shrimanth, Krishna Prasad, Adari Appala Karthik, Parag Barwad, C. R. Pruthvi, Atit A. Gawalkar, Krishna Santosh, Sanjeev Naganur |
Abstract |
Pulmonary artery thrombosis is rare in neonates and mimics as persistent pulmonary hypertension or congenital heart disease. Risk factors include septicemia, dehydration, polycythemia, maternal diabetes, asphyxia, and inherited thrombophilias. They present with cyanosis and respiratory distress. Careful echocardiogram assessment helps in identifying the thrombus in the pulmonary artery and its branches. Computed tomography pulmonary angiography confirms the diagnosis. We present a case of term neonate who presented with respiratory distress and cyanosis and a detailed echocardiogram revealed thrombus in the origin of left pulmonary artery. The neonate was managed initially with unfractionated heparin and later with low molecular weight heparin with which there was significant resolution of the thrombus CONCLUSION: Spontaneous pulmonary artery thrombosis though rare should be suspected in any cyanotic neonate with respiratory distress. Management in these cases depends on the haemodynamic instability and lung ischemia. |
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Unknown | 1 | 100% |
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Members of the public | 1 | 100% |
Mendeley readers
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Unknown | 7 | 100% |
Demographic breakdown
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Student > Ph. D. Student | 2 | 29% |
Student > Bachelor | 1 | 14% |
Student > Master | 1 | 14% |
Unknown | 3 | 43% |
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Nursing and Health Professions | 1 | 14% |
Psychology | 1 | 14% |
Economics, Econometrics and Finance | 1 | 14% |
Medicine and Dentistry | 1 | 14% |
Unknown | 3 | 43% |