Multifactorial Neonatal Thrombosis in Inferior Vena Cava Dislodged to the Right Atrium: A Case Report

نویسندگان

1 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

4 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

5 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

6 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

7 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

8 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

doi
10.22038/ijn.2020.38245.1601
چکیده

Background: Neonatal thrombotic diseases can cause mortality or serious morbidity and disability.Case report: In this report, we present a case of neonatal inferior vena cava thromboembolism with several underlyingfactors. Hereditary thrombophilia and genetic mutation in plasminogen activator inhibitor-1 and MTHFR A1298C genesin conjunction with cleft palate resulted in poor lactation and hypernatremic dehydration. A peripherally insertedcentral catheter in the inferior vena cava was an additional underlying factor. Thrombosis mass was dislodged to theright atrium while asymptomatic and accidentally detected during routine echocardiography.Conclusion: Surgical thrombectomy was done successfully, and the mass was removed from the right atrium.