Left Atrial Appendage Thrombus in a Preterm Neonate in Sinus Rhythm with Septic Shock

Thrombus in the left atrial appendage: a case report of neonate

“…9 To the best of our knowledge, only three neonates associated with thrombus in the left atrial appendage have been reported in the literatures. [2][3][4] Of them, one had congenital heart defect of the coarctation of the aorta, whereas two others had normal heart. Of the two neonates without congenital heart defect, one had sustained supraventricular tachycardia and the other had sinus rhythm with septic shock.…”

“…Low-dose heparin administration also reported good results. 3,4 However, the risk for systemic embolisation might occur, especially for thrombus in the left cardiac cavity. The surgical removal may indicate for prevention of systemic embolisation or haemodynamic instability.…”

“…1 To the best of our knowledge, only three neonates with thrombus in the left atrial appendage were reported in the literatures. [2][3][4] It is difficult to make the diagnosis of thrombus among intracardiac mass and its therapy is still under debate. We herein report a neonate with old thrombus mimicking tumour in the left atrial appendage.…”