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Related Experiment Videos

Aortic thrombosis after umbilical artery catheterization

D P Flanigan, C J Stolar, K C Pringle

    Archives of Surgery (Chicago, Ill. : 1960)
    |March 1, 1982
    PubMed
    Summary

    Catheter-induced aortic thrombosis in newborns is rare but deadly. Surgical thrombectomy offers a successful treatment, unlike medical management which has a 100% mortality rate for neonatal aortic thrombosis.

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    Area of Science:

    • Cardiovascular Medicine
    • Neonatal Surgery
    • Pediatric Thrombosis

    Background:

    • Neonatal arterial thrombosis is increasingly recognized, often associated with umbilical artery catheter use.
    • Aortic thrombosis secondary to umbilical artery catheters is a rare but critical complication.
    • Previous literature indicates a uniformly fatal outcome for medically managed neonatal aortic thrombosis.

    Observation:

    • Two neonates presented with severe lower extremity ischemia and hypertension due to aortic occlusion.
    • One neonate also developed intractable congestive heart failure.
    • Both cases were linked to umbilical artery catheterization.

    Findings:

    • Successful surgical thrombectomy was performed in both cases, resolving the aortic occlusion.

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  • This represents the first documented report of successful surgical intervention for catheter-induced aortic thrombosis in neonates.
  • Medical management of neonatal aortic thrombosis has historically resulted in 100% mortality.

    • Implications:

    • Neonatal aortic occlusion, particularly when catheter-induced, should be recognized as a surgical emergency.
    • Surgical thrombectomy is a viable and potentially life-saving treatment option.
    • Early surgical consultation is crucial for neonates presenting with signs of aortic thrombosis.