Transcatheter mechanical thrombectomy of neonatal occlusive aortic thrombus using an Amplatzer Piccolo PDA occluder.

Neonatal aortic thrombus is a rare and critical condition that can present mimicking severe coarctation of the aorta or interrupted aortic arch. Transcatheter thrombectomy for this lesion has not been well described. We report a premature neonate with an occlusive proximal descending aorta thrombus, who underwent transcatheter mechanical thrombectomy using an Amplatzer Piccolo PDA occluder (Abbott, North Chicago, IL, USA). The procedure was successful with no subsequent distal thromboembolic events.

[1]  Bryan H. Goldstein,et al.  Initial experience with vascular plug devices for mechanical thrombectomy in symptomatic neonates and infants , 2019, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[2]  P. Masand,et al.  In Utero Aortic Arch Thrombosis Masquerading as Interrupted Aortic Arch: A Case Report and Review of the Literature , 2019, Pediatric Cardiology.

[3]  D. Marini,et al.  Off‐label use of the amplatzer ductal occluder II additional size for percutaneous treatment of acute aortic occlusion in a baby , 2017, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[4]  F. Reynolds,et al.  Aortic Arch Thrombosis Mimicking Interrupted Aortic Arch , 2013, Case reports in critical care.

[5]  R. Grifka,et al.  Descending aorta thrombus in a neonate mimicking coarctation of the aorta: Mechanical thrombectomy using the AngioJet® catheter , 2013, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[6]  J. Starkopf,et al.  Aortic arch thrombosis in a neonate with heterozygous carrier status of factor V Leiden mutation. , 2006, Congenital heart disease.