Descending aorta thrombus in a neonate mimicking coarctation of the aorta: Mechanical thrombectomy using the AngioJet^® catheter

Abstract

A 5-day-old neonate presented in shock, with signs and symptoms of severe coarctation of the aorta. He was diagnosed with a patent aortic arch, and a completely thrombosed abdominal aorta. The authors report the successful transcatheter removal of the entire thrombus using the AngioJet(®) Thrombectomy system. This represents the first published use of the AngioJet(®) catheter in the aorta of a pediatric patient.

Transcatheter mechanical thrombectomy of neonatal occlusive aortic thrombus using an Amplatzer Piccolo PDA occluder

“…When an aortic thrombus is occlusive, its presentation mimics that of severe coarctation or interrupted aortic arch. 1,2,5,6 Our case exhibited the same presentation and prostaglandin E infusion was immediately started due to lower body dependence on the right-to-left flow through the PDA. Management of a neonatal aortic thrombus is challenging.…”

Successful Angiojet® aortic thrombectomy of extracorporeal membrane oxygenation-related thrombus in a newborn

“…Catheterization thrombectomy in patients supported on ECMO has not been frequently reported. [ 6 7 ]…”