Neonatal thoracoabdominal aortic thrombosis associated with the umbilical artery catheter: successful management by transaortic thrombectomy.

The case of a newborn infant who underwent a successful aortoiliac thrombectomy for thoracoabdominal aortic thrombosis induced by an umbilical artery catheter is presented. The case is notable both for the extent of the thrombotic process and the renal and cardiac failure noted initially. Only eight other attempts at neonatal aortic thrombectomy associated with umbilical artery catheters have been reported in the English language literature. Our experience, in addition to that in the literature, suggests that aggressive treatment should be considered in neonates with this severe complication.