Haddad Raymond N, Adel Hassan Ahmed, Al Soufi Mahmoud, Kasem Mohamed
Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Assistance Publique-Hôpitaux de Paris, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Department of Pediatric Cardiology, Heart Centre of Excellence, Al Jalila Children's Speciality Hospital, Dubai, United Arab Emirates.
Cardiol Young. 2024 Oct 28:1-3. doi: 10.1017/S104795112402599X.
We report on a 7-month-old boy (4.2 kg/60 cm) with severe immunodeficiency disorder and bacterial septicaemia who was referred for an infected atrial thrombus secondary to a jugular central line. The echocardiogram showed a teardrop-shaped thrombus with a wide base adherent to the interatrial wall and a flimsy tail moving freely in the right atrium. Chest CT scan showed multiple lesions in both lungs consistent with infected micro-thrombi. The thrombus increased in size despite 2 weeks of antibiotics and anticoagulation. We applied the Indigo® Lightning® 7 aspiration system from Penumbra® (Alameda, USA) and removed percutaneously the thrombus under transoesophageal ultrasound and biplane fluoroscopic guidance. At 6 weeks of follow-up, the patient is alive, under enoxaparin with no procedure-related complication.
我们报告了一名7个月大的男婴（体重4.2千克/身高60厘米），患有严重免疫缺陷疾病和细菌性败血症，因颈内中心静脉导管继发感染性心房血栓而前来就诊。超声心动图显示一个泪滴形血栓，宽基底附着于房间壁，一条脆弱的尾巴在右心房内自由移动。胸部CT扫描显示双肺有多个病灶，符合感染性微血栓。尽管使用了两周的抗生素和抗凝药物，血栓仍增大。我们使用了美国阿拉米达市Penumbra公司的Indigo® Lightning® 7抽吸系统，在经食管超声和双平面荧光透视引导下经皮清除了血栓。随访6周时，患者存活，正在使用依诺肝素，无手术相关并发症。
