Abstract

HERRERA-MARTINEZ, Selene; CELIS-JIMENEZ, Alejandro; CALDERON-ALVARADO, Ana B.  and  HUERTA-ALVAREZ, Vanessa. Surgical thrombectomy in neonatal aortic thrombosis associated with hypernatremic dehydration. Rev. mex. angiol. [online]. 2021, vol.49, n.3, pp.93-99.  Epub Oct 25, 2021. ISSN 2696-130X.  https://doi.org/10.24875/rma.21000029.

We conducted a review of published cases between 2005 to 2020, on neonatal acute aortic thrombosis associated with hypernatremic dehydration, to compare them with the clinical presentation of two cases in our Medical Center, manifested with irreversible ischemia of the extremities. Five cases were found in the literature, one had a fatal outcome. Mechanical thrombectomy was performed in both patients, and postoperatively they were placed on systemic anticoagulation, both progressed favorably. Although there is still no cornerstone in the optimal approach and management of neonatal aortic thrombosis, currently there are therapeutics options under study, such as anticoagulation, systemic thrombolysis, catheter-directed thrombolysis and mechanical thrombectomy. In our experience, open surgical management was opted due to the severity, clinical status and acuteness of both clinical scenarios.

Keywords : Spontaneous neonatal aortic thrombosis; Hypernatremic dehydration; Surgical thrombectomy.

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