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Successful Surgical Management of Aortic Arch Thrombosis in the Neonate
Feifei Z Williams1, Amy Clampitt-Holsenbeck2, Alex Lopilato3
1Division of Pediatric Cardiac Critical Care Medicine, AdventHealth Medical Group, Orlando, Florida; AdventHealth for Children, Orlando, Florida; Department of Pediatrics, University of Central Florida College of Medicine, Orlando, Florida.
Abstract:
Spontaneous thrombosis in the aortic arch is a rare finding in the neonate. Often the thrombosis is initially interpreted as arch obstruction secondary to coarctation or interrupted aortic arch. Thus the obstruction is mechanical with no structural abnormality. We describe 2 newborns with coarctation and extensive thrombosis within the aortic arch. We report their successful surgical management, with a brief review of the literature and pertinent management principles.
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