Key result
Emergency surgical thrombectomy successfully removed a large thrombus from the aortic root and right coronary artery in a 3-hour-old newborn, leading to normalized right ventricular function.
Why the study?
Perinatal myocardial infarction caused by aortic root and coronary artery thrombosis in the neonatal period is extremely rare and carries a gloomy prognosis with devastating complications.
Does urgent surgical thrombectomy improve outcomes in a newborn with acute myocardial infarction due to aortic root and right coronary artery thrombosis?
Case Report (n=1)
No
Does urgent surgical thrombectomy improve outcomes in a newborn with acute myocardial infarction due to aortic root and right coronary artery thrombosis?
Urgent surgical thrombectomy can be successfully performed and is life-saving in neonates with large aortic root and right coronary artery thrombi causing acute myocardial infarction.
Supports feasibility of emergency thrombectomy in neonatal coronary thrombosis; hypothesis-generating, with comparative data needed.
Perinatal myocardial infarction caused by aortic root and coronary artery thrombosis in neonatal period is extremely rare and has a gloomy prognosis that may cause devastating complications. A 3-h newborn baby who had acute myocardial infarction findings on postnatal electrocardiography had a thrombus in the aortic root with hyperechogenic right coronary artery region, and impaired right ventricular functions on echocardiography. The patient was urgently operated and thrombus was successfully removed from the aortic root and the right coronary artery. In conclusion, for large thrombi posing a risk for embolization in the aortic root, an urgent surgical thrombectomy procedure should be performed.
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Özcanoğlu et al. (2021) conducted a case report in Acute myocardial infarction with aortic root and right coronary artery thrombosis (n=1). Surgical thrombectomy was evaluated on Thrombus removal and clinical recovery. Emergency surgical thrombectomy successfully removed a large thrombus from the aortic root and right coronary artery in a 3-hour-old newborn, leading to normalized right ventricular function.
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