Left atrium thrombus in an extremely low-birthweight infant with late-onset circulatory dysfunction
Article first published online: 26 JUL 2012
© 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society
Volume 54, Issue 4, pages 555–558, August 2012
How to Cite
Ina, S., Futatani, T., Higashiyama, H., Hashida, N., Fujita, S., Shimura, S., Igarashi, N. and Hatasaki, K. (2012), Left atrium thrombus in an extremely low-birthweight infant with late-onset circulatory dysfunction. Pediatrics International, 54: 555–558. doi: 10.1111/j.1442-200X.2011.03531.x
- Issue published online: 26 JUL 2012
- Article first published online: 26 JUL 2012
- Received 20 April 2011; revised 26 September 2011; accepted 9 November 2011.
- late-onset circulatory dysfunction;
- left atrium thrombus;
- preterm infant;
- recombinant tissue plasminogen activator
A left atrium thrombus, potentially a life-threatening complication, is an extremely rare in early infancy. Most cases are caused by mal-placement of central venous catheters or related to congenital heart diseases with left atrial blood congestion. Here we present an extremely low birth weight infant who developed a left atrial thrombus during the course of late onset circulatory dysfunction. The thrombus was successfully treated by recombinant tissue plasminogen activator. A hemodynamically unstable condition like late onset circulatory dysfunction should be taken into consideration as a potential risk condition of this rare disease.