Aortic arch thrombosis mimicking interrupted aortic arch.

Area of Science:

• Cardiovascular Surgery
• Neonatal Medicine
• Hematology

Background:

• Neonates can present with complex congenital heart defects.
• Aortic thrombosis is a rare but serious condition in newborns.
• Interrupted aortic arch requires prompt surgical intervention.

Purpose of the Study:

• To describe a rare case of extensive aortic thrombus in a neonate.
• To highlight the diagnostic and therapeutic challenges.
• To emphasize the importance of a multidisciplinary approach.

Main Methods:

• Case report of a 32-week-gestation male infant.
• Initial presentation with symptoms of interrupted aortic arch.
• Diagnostic imaging including CT angiogram.
• Surgical intervention: aortic thrombectomy and arch repair under cardiopulmonary bypass.
• Referral to hematology for further evaluation.

Main Results:

• Extensive aortic thrombus identified, not initially suspected.
• Successful surgical correction of the aortic arch and thrombectomy.
• No family history of prothrombotic disorders identified.
• Patient management transitioned to hematology.

Conclusions:

• Aortic thrombosis can mimic congenital heart defects in neonates.
• Early diagnosis and surgical intervention are crucial for favorable outcomes.
• Multidisciplinary care involving surgery and hematology is essential for managing complex neonatal thrombotic events.