Mirjalili, S., Danaeian, M., Baghalsafa, F. (2021). Intracardiac Thrombosis in A Neonate: A Case Report. Shahid Sadoughi University of Medical Sciences- Journal Management System, 4(1), 65-69. doi: 10.18502/wjpn.v4i1.7547
Seyed Reza Mirjalili; Morteza Danaeian; Fatemeh Baghalsafa. "Intracardiac Thrombosis in A Neonate: A Case Report". Shahid Sadoughi University of Medical Sciences- Journal Management System, 4, 1, 2021, 65-69. doi: 10.18502/wjpn.v4i1.7547
Mirjalili, S., Danaeian, M., Baghalsafa, F. (2021). 'Intracardiac Thrombosis in A Neonate: A Case Report', Shahid Sadoughi University of Medical Sciences- Journal Management System, 4(1), pp. 65-69. doi: 10.18502/wjpn.v4i1.7547
Mirjalili, S., Danaeian, M., Baghalsafa, F. Intracardiac Thrombosis in A Neonate: A Case Report. Shahid Sadoughi University of Medical Sciences- Journal Management System, 2021; 4(1): 65-69. doi: 10.18502/wjpn.v4i1.7547
Intracardiac Thrombosis in A Neonate: A Case Report
1Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract
Background: Life-threatening intracardiac thrombosis is rare. Intracardiac thrombosis may affect neonates from the first months of life. Because of the potential risk of serious bleeding, the use of recombinant plasminogen activator (rt-PA) in neonates along with heparin is controversial. Case Report: We reported a 37- day- old term infant presented with fever, restlessness, malaise, and respiratory acidosis. Right atrial thrombose was identified by ECHO, results of laboratory tests, and examination. She was successfully treated with rt-PA and rivaroxaban. Conclusion: Early echocardiographic detection before the clot grows large and organized, allows complete, safe, and rapid thrombolysis with rt-PA and rivaroxaban.
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