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[Aortic and cerebral trombosis caused by hypernatremic dehydration in an exclusively breast-fed infant]

C Iglesias Fernández1, P Chimenti Camacho, P Vázquez López

  • 1Sección de Urgencias Pediatría. Hospital Infantil Gregorio Marañón. Madrid. España. cristinaif@hotmail.com

Anales De Pediatria (Barcelona, Spain : 2003)
|October 6, 2006
PubMed

Insights

Severe aortic thrombosis in a newborn was successfully treated with early anticoagulation and thrombolytic therapy. This case highlights the importance of prompt intervention for neonatal aortic thrombosis and dehydration.

Area of Science:

  • Neonatal medicine
  • Pediatric cardiology
  • Vascular medicine

Background:

  • Complete aortic thrombosis is a rare but serious condition in neonates, associated with high morbidity and mortality.
  • Prompt and aggressive treatment is crucial for managing neonatal aortic thrombosis.

Observation:

  • An 8-day-old, exclusively breast-fed infant developed complete aortic and cerebral venous thrombosis.
  • The condition was linked to inadequate breastfeeding and severe hypernatremic dehydration.
  • The infant had no identifiable coagulopathy.

Findings:

  • Early systemic anticoagulation and thrombolytic therapy were initiated.
  • Complete resolution of the aortic and cerebral venous thrombosis was achieved.

Implications:

  • This case underscores the critical need for early diagnosis and intervention in neonatal aortic thrombosis.
  • Aggressive treatment strategies, including anticoagulation and thrombolysis, can lead to favorable outcomes.
  • Inadequate breastfeeding and dehydration should be considered potential contributing factors in neonatal thrombosis.

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