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Case Reports
. 2018 Jun;7(2):102-105.
doi: 10.1055/s-0037-1607445. Epub 2017 Oct 27.

Dehydration as a Rare Cause of Pulmonary Artery Thrombosis in a 2-Week-Old Term Neonate

Gal Kimhi  1 , Marina Rubinshtein  1 , Tal Tirosh-Wagner  1 , David Mishaly  1 , Gili Kenet  1 , Gideon Paret  1
Affiliations
Case Reports

Dehydration as a Rare Cause of Pulmonary Artery Thrombosis in a 2-Week-Old Term Neonate

Gal Kimhi et al. J Pediatr Intensive Care. 2018 Jun.

Abstract

Pulmonary arterial thrombosis is an extremely rare occurrence in the neonatal population. We describe a 2-week-old female neonate who presented in critical condition with severe cyanosis and dehydration and was found to have a large thrombus in the main branches of the pulmonary arteries. She was successfully treated with surgical embolectomy. Pulmonary arterial thrombosis should always be considered in the differential diagnosis of a dehydrated neonate presenting with severe cyanosis and evidence of pulmonary hypertension.

Keywords: cyanosis; dehydration; neonate; pulmonary arterial thrombosis; pulmonary hypertension.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Color Doppler echocardiogram demonstrating the main pulmonary artery thrombus, at the bifurcation site, with flow around it.
Fig. 2
Fig. 2
Two-dimensional echocardiogram demonstrating the size of the pulmonary artery thrombus.
Fig. 3
Fig. 3
Axial view of a computerized tomographic angiogram scan showing the arterial thrombus with a near complete occlusion of both the right pulmonary artery (long arrow) and the left pulmonary artery (short arrow).
Fig. 4
Fig. 4
Axial view of a computerized tomographic angiogram scan showing the thrombus occluding a significant portion of the right pulmonary artery (arrow).
See this image and copyright information in PMC

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