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Catheter-Guided Dissolution of a Giant Thrombus in the Left Ventricle in a Newborn
Jacek Kuźma1, Maciej A Karolczak1, Bożena Kociszewska-Najman2
1Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
Abstract:
A newborn with pulmonary hypertension due to the premature fetal arterial duct occlusion was diagnosed with a giant left ventricle thrombus. Cardiopulmonary compromise required multidrug therapy with vasopressors infusions, high-frequency oscillation, and nitric oxide. Alteplase infusion through a guiding catheter into the left atrium dissoluted the clot without sequelae. (Level of Difficulty: Advanced.).
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