Abstract
Pulmonary artery thrombus is a rarely reported complication in premature neonates. The management of life-threatening thrombotic events in neonates is controversial, especially regarding the use of thrombolytics versus anticoagulation alone for treatment. We report a case of a premature neonate with symptomatic pulmonary artery thrombus treated with recombinant tissue plasminogen activator who survived without bleeding complications.
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References
Biss TT, Brandao LR, Kahr WH, Chan AK, Williams S . Clinical features and outcome of pulmonary embolism in children. Br J Haematol 2008; 142 (5): 808–818.
Sawyer T, Antle A, Studer M, Thompson M, Perry S, Mahnke CB . Neonatal pulmonary artery thrombosis presenting as persistent pulmonary hypertension of the newborn. Pediatr Cardiol 2009; 30 (4): 520–522.
Kenny D, Tsai-Goodman B . Neonatal arterial thrombus mimicking congenital heart disease. Arch Dis Child Fetal Neonatal Ed 2007; 92 (1): F59–F61.
Thornburg C, Pipe S . Neonatal thromboembolic emergencies. Semin Fetal Neonatal Med 2006; 11 (3): 198–206.
Coleman MM, Spear ML, Finkelstein M, Leef KH, Pearlman SA, Chien C et al. Short-term use of umbilical artery catheters may not be associated with increased risk for thrombosis. Pediatrics 2004; 113: 770–774.
Veldman A, Nold MF, Michel-Behnke I . Thrombosis in the critically ill neonate: incidence, diagnosis, and management. Vasc Health Risk Manag 2008; 4: 1337–1348.
Kuhle S, Massicotte P, Chan A, Adams M, Abdolell M, de Veber G et al. Systemic thromboembolism in children: data from the 1-800-NO-CLOTS Consultation Service. Thromb Haemost 2004; 92: 722–728.
Monagle P, Chalmers E, Chan A, DeVeber G, Kirkham F, Massicotte P et al. Antithrombotic therapy in neonates and children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133 (Suppl 6): 887S–968S.
Anderson B, Urs P, Tudehope D, Ward C . The use of recombinant tissue plasminogen activator in the management of infective intracardiac thrombi in pre-term infants with thrombocytopaenia. J Paediatr Child Health 2009; 45: 598–601.
Farnoux C, Camard O, Pinquier D, Hurtaud-Roux MF, Sebag G, Schlegel N et al. Recombinant tissue-type plasminogen activator therapy of thrombosis in 16 neonates. J Pediatr 1998; 133: 137–140.
Hartmann J, Hussein A, Trowitzsch E, Becker J, Hennecke KH . Treatment of neonatal thrombus formation with recombinant tissue plasminogen activator: six years experience and review of the literature. Arch Dis Child Fetal Neonatal Ed 2001; 85: F18–F22.
John CM, Harkensee C . Thrombolytic agents for arterial and venous thromboses in neonates. Cochrane Database Syst Rev 2005; CD004342.
Acknowledgements
We thank Dr Christoph Hornik and Dr Piers C Barker for providing echocardiogram images and videos.
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Supplementary Information accompanies the paper on the Journal of Perinatology website
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DeMeo, S., Sherwood, A., Hornik, C. et al. Pulmonary artery thrombus in a premature neonate treated with recombinant tissue plasminogen activator. J Perinatol 34, 569–571 (2014). https://doi.org/10.1038/jp.2014.34
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DOI: https://doi.org/10.1038/jp.2014.34
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