Related Experiment Video
Updated: Mar 19, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
1.2K
Aortic arch thrombosis in the neonate.
Yuichiro Hashida1,2, Satoshi Yasukochi3, Kiyohiro Takigiku3
1Department of Pediatric Cardiology, Nagano Children's Hospital, 3100 Toyoshina, Azumino, Nagano, 399-8288, Japan. pachinet@hotmail.co.jp.
Journal of Echocardiography
|June 10, 2016
Summary
Neonatal aortic arch thrombosis (AAT) is a rare, life-threatening condition. This case highlights successful treatment with low-molecular-weight heparin, improving blood flow and reducing thrombus size in a neonate.
Area of Science:
- Neonatal cardiology
- Pediatric cardiovascular surgery
- Vascular medicine
Background:
- Aortic arch thrombosis (AAT) in neonates is a rare but critical condition.
- It can lead to fatal compromise due to thrombotic obstruction of the ascending aorta.
- Associated conditions like severe coarctation of the aorta can exacerbate outcomes.
Purpose of the Study:
- To report a case of neonatal aortic arch thrombosis.
- To describe the diagnostic and therapeutic approach.
- To emphasize the role of echocardiography in managing AAT.
Main Methods:
- Diagnosis of AAT was confirmed using echocardiography.
- Echocardiography identified a large thrombus on the transverse aortic arch obstructing cervical arteries.
- Treatment involved low-molecular-weight heparin (LMWH).
Main Results:
- LMWH therapy led to a reduction in thrombus size.
- Hemodynamics of coarctation of the aorta improved.
- Cerebral perfusion was enhanced following treatment.
Conclusions:
- Echocardiography is crucial for diagnosing neonatal AAT.
- Echocardiography effectively monitors thrombus size and regression.
- LMWH is a viable treatment option for neonatal AAT, improving outcomes.
Related Concept Videos
01:10The Arch of Aorta
2.2K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
488
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
488
01:30Aneurysm I: Introduction
592
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
592
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
824
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
824
01:26Aneurysm III: Interprofessional Care
438
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
438
01:15Aortic Regurgitation I: Introduction
1.1K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.1K