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



Mosayebi Z1 ; Mirzaaghayan M1 ; Shabanian R1 ; Gharib B1 ; Moghadam EM1 ; Dadkhah M1 ; Mohsenipour R1 ; Saeedi M1
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Authors Affiliations
  1. 1. Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Neonatology Published:2020


Abstract

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 underlying factors. Hereditary thrombophilia and genetic mutation in plasminogen activator inhibitor-1 and MTHFR A1298C genes in conjunction with cleft palate resulted in poor lactation and hypernatremic dehydration. A peripherally inserted central catheter in the inferior vena cava was an additional underlying factor. Thrombosis mass was dislodged to the right atrium while asymptomatic and accidentally detected during routine echocardiography. Conclusion: Surgical thrombectomy was done successfully, and the mass was removed from the right atrium. © 2020 Mashhad University of Medical Sciences. All rights reserved.