Case Report: A thrombosis of ductus arteriosus aneurysm involving the left pulmonary artery in a full-term newborn with isolated right ventricular hypoplasia.

IF 2 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1624029

Stasa Krasic, Nevena Djorovic, Ivan Dizdarevic, Vesna Topic, Nikola Ilic, Adrijan Sarajlija, Dragana Aleksic, Vladislav Vukomanovic

{"title":"Case Report: A thrombosis of ductus arteriosus aneurysm involving the left pulmonary artery in a full-term newborn with isolated right ventricular hypoplasia.","authors":"Stasa Krasic, Nevena Djorovic, Ivan Dizdarevic, Vesna Topic, Nikola Ilic, Adrijan Sarajlija, Dragana Aleksic, Vladislav Vukomanovic","doi":"10.3389/fped.2025.1624029","DOIUrl":null,"url":null,"abstract":"Background: Thrombosis of ductus arteriosus aneurysm (DAA) is a well-known complication of DAA that can lead to vascular obstruction or thromboembolic events.Case report: A full-term male newborn presented with isolated right ventricular hypoplasia (IRVH). Follow-up echocardiography at 19 days of life revealed a pedunculated mass, suggesting a thrombus partially obstructing the left pulmonary artery (LPA). The patient remained clinically stable but was admitted to the neonatal intensive care unit for close monitoring. CT and MRI confirmed DAA thrombosis involving LPA. Due to a lack of resolution with conservative treatment, the patient underwent a thrombectomy and resection of the ductus arteriosus (DA). The postoperative course was uneventful, and the follow-up echocardiography showed normalisation of the right ventricular cavity and no residual thrombus.Conclusion: This case highlights the importance of early detection and investigation in neonates with echocardiographic findings of intrauterine ductus arteriosus closure, stenosis, or DA closure in the first 12 h of life to prevent life-threatening complications.","PeriodicalId":12637,"journal":{"name":"Frontiers in Pediatrics","volume":"13 ","pages":"1624029"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507541/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fped.2025.1624029","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Thrombosis of ductus arteriosus aneurysm (DAA) is a well-known complication of DAA that can lead to vascular obstruction or thromboembolic events.

Case report: A full-term male newborn presented with isolated right ventricular hypoplasia (IRVH). Follow-up echocardiography at 19 days of life revealed a pedunculated mass, suggesting a thrombus partially obstructing the left pulmonary artery (LPA). The patient remained clinically stable but was admitted to the neonatal intensive care unit for close monitoring. CT and MRI confirmed DAA thrombosis involving LPA. Due to a lack of resolution with conservative treatment, the patient underwent a thrombectomy and resection of the ductus arteriosus (DA). The postoperative course was uneventful, and the follow-up echocardiography showed normalisation of the right ventricular cavity and no residual thrombus.

Conclusion: This case highlights the importance of early detection and investigation in neonates with echocardiographic findings of intrauterine ductus arteriosus closure, stenosis, or DA closure in the first 12 h of life to prevent life-threatening complications.

查看原文本刊更多论文

病例报告：一例足月新生儿孤立性右心室发育不全伴左肺动脉动脉导管动脉瘤血栓形成。

背景：动脉导管动脉瘤（DAA）血栓形成是众所周知的DAA并发症，可导致血管阻塞或血栓栓塞事件。病例报告：一个足月男婴表现为孤立性右心室发育不全（IRVH）。19天的随访超声心动图显示有带脚肿块，提示血栓部分阻塞左肺动脉。患者保持临床稳定，但被送入新生儿重症监护病房密切监测。CT和MRI证实DAA血栓形成累及LPA。由于保守治疗缺乏解决，患者接受了血栓切除术和动脉导管切除术（DA）。术后过程顺利，随访超声心动图显示右心室腔恢复正常，无残留血栓。结论：本病例强调了早期发现和调查新生儿超声心动图发现宫内动脉导管关闭、狭窄或DA关闭在生命最初12小时的重要性，以防止危及生命的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.