Ninot A, Lambert A, Marchal C
Service de néonatologie et de pédiatrie, hôpital Bel-Air, CHR de Metz-Thionville, France.
Pediatrie. 1993;48(12):902-4.
The authors report a case of aortic arch thrombosis in a neonate probably related to perinatal placental emboli. However the finding of a fibroblastic endarteritis raised the possibility of a primitive lesion of the aortic wall. The evolution was complicated by cerebral ischemia. A surgical thrombectomy was performed. The outcome was favourable with persistence of a moderate right motor deficiency at 9 months. The authors advise the addition of an enlargement patch and the use of anticoagulation therapy in case of intimal lesion or very adherent thrombus.
作者报告了一例新生儿主动脉弓血栓形成病例，可能与围产期胎盘栓子有关。然而，纤维母细胞性动脉内膜炎的发现增加了主动脉壁原始病变的可能性。病情发展因脑缺血而复杂化。进行了外科血栓切除术。结果良好，9个月时仍存在中度右侧运动功能缺陷。作者建议，若存在内膜病变或血栓非常黏附的情况，应加用扩大补片并采用抗凝治疗。
