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Aortic arch thrombectomy in a 2.8 kilogram neonate – a case report and review of the literature

Published online by Cambridge University Press:  07 March 2012

Ikenna Omeje*
Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London, United Kingdom
Awat Ram
Department of Cardiology, Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom
Martin Kostolny
Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London, United Kingdom
Correspondence to: Dr I. Omeje, MD, PhD, Cardiothoracic Unit, Great Ormond Street Hospital for Children, London WC1N 3JH, United Kingdom. Tel: +44 2074059200, ext. 5730; Fax: +44 2074301281; E-mail:


Aortic arch thrombus is a rare occurrence in neonates. In the few described cases, this has mainly been associated with sepsis or early postnatal interventions, such as insertion of umbilical arterial line. We describe a case of occlusive aortic arch thrombus in a neonate who presented with signs of critical coarctation and successfully underwent surgical thrombectomy on deep hypothermic circulatory arrest. We also present a review of the most recently published cases of aortic arch thrombus in neonates and the treatment options employed.

Brief Report
Copyright © Cambridge University Press 2012

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