Multifactorial Neonatal Thrombosis in Inferior Vena Cava Dislodged to the Right Atrium: A Case Report

Authors

  • Behdad Gharib Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  • Elahe Movahedi Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  • Maryam Saeedi Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  • minoo dadkhah Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  • Reza Shabanian Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  • Ziba Mosayebi Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
Abstract:

Background: Neonatal thrombotic diseases can cause mortality or serious morbidity and disability.Case report: In this report, we present a case of neonatal inferior vena cava thromboembolism with several underlyingfactors. Hereditary thrombophilia and genetic mutation in plasminogen activator inhibitor-1 and MTHFR A1298C genesin conjunction with cleft palate resulted in poor lactation and hypernatremic dehydration. A peripherally insertedcentral catheter in the inferior vena cava was an additional underlying factor. Thrombosis mass was dislodged to theright atrium while asymptomatic and accidentally detected during routine echocardiography.Conclusion: Surgical thrombectomy was done successfully, and the mass was removed from the right atrium.

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Journal title

volume 11  issue 2

pages  112- 116

publication date 2020-05-01

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