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Aortic thrombosis in neonates and infants
G K Lofland1, P Russo, B Sethia
1Cardiothoracic Unit, Hospital for Sick Children, London, England.
Annals of Surgery
|December 1, 1988
Summary
Neonatal aortic thrombosis, often from umbilical artery catheters, can cause renal failure. A retroperitoneal approach for aortic thromboembolectomy is presented as a viable management strategy.
Area of Science:
- Neonatal medicine
- Vascular surgery
- Pediatric nephrology
Background:
- Aortic thrombosis is a serious complication in neonates, frequently linked to umbilical artery catheterization.
- Current management strategies for neonatal aortic thrombosis remain debated.
- Potential complications include severe renal failure, possibly requiring dialysis.
Observation:
- Umbilical artery catheterization is the primary cause of aortic thrombosis in newborns.
- Renal failure is a significant risk associated with this condition.
- A retroperitoneal surgical approach is proposed for managing aortic thrombosis.
Findings:
- The study advocates for a retroperitoneal approach to the abdominal aorta for thromboembolectomy.
- This surgical technique aims to address aortic thrombosis effectively in neonates.
- The retroperitoneal route is presented as a method to manage complications like renal failure.
Implications:
- This approach may offer an alternative management for neonatal aortic thrombosis.
- It could potentially reduce the incidence or severity of renal complications.
- Further research is warranted to establish the efficacy and safety of this surgical technique.