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.2020.38245.1601چکیده
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.