Neonatal Medicine

  • 제27권2호
  • /
  • Pages.89-93
  • /
  • 2020
  • /
  • 2287-9412(pISSN)
  • /
  • 2287-9803(eISSN)
대한신생아학회 (The Korean Society of Neonatology)
권호 표지
DOI QR코드

DOI QR Code

Echogenic Mass Lesion within the Main Pulmonary Artery in a Neonate

  • Jeong, Lae-Eun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Na, Jae Yoon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Huh, June (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kang, I-Seok (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Ji-Hyuk (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jun, Tae-Gook (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, Jin Young (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2020.03.13
  • 심사 : 2020.04.29
  • 발행 : 2020.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Here we present a rare case of pulmonary arterial thrombosis associated with a ductus arteriosus aneurysm that caused severe pulmonary stenosis. A 5-day-old newborn was admitted to our hospital for the evaluation of an intracardiac mass-like lesion found after the detection of a cardiac murmur. Echocardiography and heart computed tomography revealed a mass-like lesion measuring 8.1 mm in diameter across the distal main pulmonary artery to the proximal left pulmonary artery resulting in localized severe stenosis of the left pulmonary artery. Left pulmonary artery angioplasty for surgical resection of the thrombus revealed that the mass was adherent to the proximal part of the left pulmonary artery anterior wall and extended to the ductus arteriosus. Histological examination of the mass showed an old thrombus with dystrophic calcification. Five months after surgery, follow-up echocardiography showed that the left pulmonary artery peak pressure gradient had decreased but the proximal left pulmonary artery stenosis remained. Cardiac catheterization and balloon angioplasty successfully relieved the pulmonary stenosis.

키워드

참고문헌

  1. van Schendel MP, Visser DH, Rammeloo LA, Hazekamp MG, Hruda J. Left pulmonary artery thrombosis in a neonate with left lung hypoplasia. Case Rep Pediatr 2012;2012:314256. https://doi.org/10.1155/2012/314256
  2. Sawyer T, Antle A, Studer M, Thompson M, Perry S, Mahnke CB. Neonatal pulmonary artery thrombosis presenting as persistent pulmonary hypertension of the newborn. Pediatr Cardiol 2009;30:520-2. https://doi.org/10.1007/s00246-008-9349-2
  3. Dijk FN, Curtin J, Lord D, Fitzgerald DA. Pulmonary embolism in children. Paediatr Respir Rev 2012;13:112-22. https://doi.org/10.1016/j.prrv.2011.09.002
  4. McArdle DJ, Paterson FL, Morris LL. Ductus arteriosus aneurysm thrombosis with mass effect causing pulmonary hypertension in the first week of life. J Pediatr 2017;180:289. https://doi.org/10.1016/j.jpeds.2016.09.004
  5. Hornberger LK. Congenital ductus arteriosus aneurysm. J Am Coll Cardiol 2002;39:348-50. https://doi.org/10.1016/S0735-1097(01)01734-X
  6. Jan SL, Hwang B, Fu YC, Chai JW, Chi CS. Isolated neonatal ductus arteriosus aneurysm. J Am Coll Cardiol 2002;39:342-7.
  7. Lund JT, Jensen MB, Hjelms E. Aneurysm of the ductus arteriosus. A review of the literature and the surgical implications. Eur J Cardiothorac Surg 1991;5:566-70. https://doi.org/10.1016/1010-7940(91)90220-E
  8. Dyamenahalli U, Smallhorn JF, Geva T, Fouron JC, Cairns P, Jutras L, et al. Isolated ductus arteriosus aneurysm in the fetus and infant: a multi-institutional experience. J Am Coll Cardiol 2000;36:262-9. https://doi.org/10.1016/S0735-1097(00)00707-5
  9. Deeg KH, Ruffer A. Thrombus formation and arterial dissection of the wall of the left pulmonary artery caused by an aneurysm of the ductus arteriosus. Ultraschall Med 2019;40:85-6. https://doi.org/10.1055/s-0043-124367
  10. Doreswamy SM, Twiss J, Predescu D, Shivananda SKP. Extending thrombus within the PDA in an infant with tetralogy of Fallot and pulmonary atresia: an averted disaster. J Clin Neonatol 2015;4:42-5. https://doi.org/10.4103/2249-4847.151167
  11. Sattar P, Ehrensperger J, Ducommun JC. Thrombosed aneurysmal nonpatent ductus arteriosus: a case report. Pediatr Radiol 1996;26:207-9. https://doi.org/10.1007/BF01405301

피인용 문헌

  1. Ductus arteriosus aneurysm with left pulmonary artery obstruction vol.38, pp.7, 2020, https://doi.org/10.1111/echo.15070