Demir Tevfik, Celkan Tiraje, Ahunbay Gulay, Babaoglu Abdulkadir, Besikci Resmiye
Istanbul University, Cerrahpasa Medical Faculty, Koca MP/Fatih, Istanbul, Turkey.
Pediatr Cardiol. 2006 Jul-Aug;27(4):497-9. doi: 10.1007/s00246-006-1265-8. Epub 2006 Jul 6.
We present a 2-month-old male infant with thrombosis in the superior vena cava and pericardium due to transient protein C deficiency. Protein C deficiency was related to sepsis and hepatitis-induced liver function impairment. The patient's cardiac anatomy was otherwise normal. The patient was referred to us with signs of superior vena cava syndrome. Pericardial mass was excised. Pathological examination diagnosed the mass as organized thrombus. After the operation, signs of superior vena cava syndrome totally resolved. Serial echocardiographic examinations revealed regression of thrombus in the superior vena cava. This is the first case reported in the literature with intrapericardial thrombus secondary to transient protein C deficiency.
我们报告一名2个月大的男婴,因短暂性蛋白C缺乏导致上腔静脉和心包血栓形成。蛋白C缺乏与败血症和肝炎引起的肝功能损害有关。患者的心脏解剖结构其他方面正常。该患者因上腔静脉综合征的症状转诊至我们这里。心包肿块被切除。病理检查诊断该肿块为机化血栓。术后,上腔静脉综合征的症状完全消失。系列超声心动图检查显示上腔静脉内血栓消退。这是文献中报道的首例因短暂性蛋白C缺乏继发心包内血栓形成的病例。