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Aortic thrombosis in infancy.

Otto H P Teixeira¹, Ashok V Mehta

¹Tri-City Pediatric Cardiology, Johnson City, TN 37604, USA. ottoteixeira@hotmail.com

Tennessee Medicine : Journal of the Tennessee Medical Association

|April 24, 2009

Summary

This summary is machine-generated.

A rare case of aortic thrombosis in an infant, initially diagnosed with viral bronchiolitis, highlights the importance of considering vascular issues. Early treatment with anticoagulants showed partial clot resolution, though the thrombus remained visible.

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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

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Area of Science:

Cardiology
Pediatric Medicine
Neonatology

Background:

Aortic thrombosis is a rare condition in neonates and young children, with limited reported cases.
Spontaneous aortic thrombosis is exceptionally uncommon, posing diagnostic challenges and potentially life-threatening risks.

Observation:

A 33-day-old infant presented with viral bronchiolitis and subsequently developed a systolic ejection murmur.
Echocardiography revealed a significant aortic thrombus (3.5 x 3.5 cm) at the ductus level with flow acceleration in the descending aorta.
Elevated platelet count was the only abnormal laboratory finding.

Findings:

The infant received a four-month course of subcutaneous enoxaparin and a nine-month course of oral aspirin.
Partial resolution of the aortic thrombus was observed during treatment, with the clot still visible at 12 months of age.
The infant's growth and development remained normal throughout the treatment period.

Implications:

This case underscores the need for thorough cardiovascular evaluation in neonates presenting with seemingly unrelated conditions.
Prompt diagnosis and anticoagulation therapy are crucial for managing aortic thrombosis in infants, although long-term monitoring is necessary.
Further research into the underlying causes and optimal management strategies for pediatric aortic thrombosis is warranted.