Successful embolectomy of bilateral femoral artery thrombosis in neonate

Authors

  • Bishal Gautam Department of Cardiothoracic and Vascular Surgery, SMS Medical College and Attached Group of Hospitals, Jaipur, Rajasthan, India
  • R. M. Mathur Department of Cardiothoracic and Vascular Surgery, SMS Medical College and Attached Group of Hospitals, Jaipur, Rajasthan, India
  • Sanjeev Devgarha Department of Cardiothoracic and Vascular Surgery, SMS Medical College and Attached Group of Hospitals, Jaipur, Rajasthan, India
  • Anula Sisodiya Department of Cardiothoracic and Vascular Surgery, SMS Medical College and Attached Group of Hospitals, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174905

Keywords:

Aortoiliac thrombosis, Embolectomy, Gangrene

Abstract

In childhood, the incidence of thrombotic disease, both spontaneous and catheter-induced, is highest in the neonatal period. Depending on the thrombus location, degree of aortic occlusion and involvement of other organs, aortic thrombosis clinical signs range from a completely asymptomatic presentation to a life threatening neonatal emergency. We report a case of aortoiliac thrombosis in a 12 days old baby, who presented with complaints of bluish-black patches on right foot for 4 days. Lower limb CT (Computed Tomography) Angiography showed thrombus in abdominal aorta involving proximal part of right common iliac artery. The anticoagulant therapy was initiated and surgical embolectomy was performed with restoration of blood flow, but the patient developed gangrene of right foot during the follow up period.

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Published

2017-10-27

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Section

Case Reports