Cardiac Thrombus in a Newborn: Treatment with Heparin

CASE REPORT, October 2013, VOL II ISSUE IV, ISSN 2042-4884
10.5083/ejcm.20424884.103 , Cite or Link Using DOI
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Paolo Montaldo, Pasquale Cuccaro, Antonio Rapacciuolo, Valentino Perrotta, Elisabetta Caredda, Roberto Rosso, Renato Vitiello

INTRODUCTION

Thrombosis is a relatively rare event in children. In the neonatal period, however, many conditions result in an increased risk of thrombus formation. Among these, surely, the indwelling intravascular catheter represents the major risk factor. Central lines in the neonatal intensive care are commonly used. This invasive practice, however, has led to important implications like the formation of intracardiac thrombi. To date, there is no univocal agreement about the management of this complication. In fact, treatment varies from medical centre to medical centre and literature contains small series and case reports describing the use of rt-PA for neonates with thrombosis, both cardiac and non-cardiac.