Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

A neonate with left pulmonary artery thrombosis and left lung hypoplasia: a case report

Authors: Nahed O ElHassan, Christi Sproles, Ritu Sachdeva, Sadaf T Bhutta, Joanne S Szabo

Published in: Journal of Medical Case Reports | Issue 1/2010

Login to get access

Abstract

Introduction

Spontaneous intrauterine arterial thrombosis and congenital pulmonary hypoplasia are rare conditions and have not been reported to occur together. The literature rather includes two reports of babies with neonatal pulmonary artery occlusion and post-infarction cysts of the lungs.

Case presentation

We report a case of a live Caucasian male newborn with left lung hypoplasia that occurred in association with left pulmonary artery thrombosis. Despite a critical neonatal course, including extracorporeal membrane oxygenation, this infant is alive and well at 18 months of age without any neurodevelopmental sequelae or reactive airway disease.

Conclusion

This association suggests the possibility of an intrauterine vascular event between the fifth and eighth weeks of gestation during early pulmonary artery and lung development.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kenny D, Tsai-Goodman B: Neonatal arterial thrombus mimicking congenital heart disease. Arch Dis Child Fetal Neonatal Ed. 2007, 92: F59-F61. 10.1136/adc.2005.091850.CrossRefPubMed Kenny D, Tsai-Goodman B: Neonatal arterial thrombus mimicking congenital heart disease. Arch Dis Child Fetal Neonatal Ed. 2007, 92: F59-F61. 10.1136/adc.2005.091850.CrossRefPubMed
2.
go back to reference Greenway A, Massicotte MP, Monagle O: Neonatal thrombosis and its treatment. Blood Rev. 2004, 18: 75-84. 10.1016/S0268-960X(03)00042-0.CrossRefPubMed Greenway A, Massicotte MP, Monagle O: Neonatal thrombosis and its treatment. Blood Rev. 2004, 18: 75-84. 10.1016/S0268-960X(03)00042-0.CrossRefPubMed
3.
go back to reference Aslam M, Gugleitti D, Hansen AR: Neonatal arterial thrombosis at birth: case report and literature review. Am J Perinatol. 2008, 25: 347-352. 10.1055/s-2008-1078764.CrossRefPubMed Aslam M, Gugleitti D, Hansen AR: Neonatal arterial thrombosis at birth: case report and literature review. Am J Perinatol. 2008, 25: 347-352. 10.1055/s-2008-1078764.CrossRefPubMed
4.
go back to reference 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: 520-522. 10.1007/s00246-008-9349-2.CrossRefPubMed 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: 520-522. 10.1007/s00246-008-9349-2.CrossRefPubMed
5.
go back to reference Abrams ME, Ackerman VL, Engle WA: Primary unilateral pulmonary hypoplasia: neonate through early childhood: case report, radiographic diagnosis and review of the literature. J Perinatol. 2004, 24: 667-670. 10.1038/sj.jp.7211156.CrossRefPubMed Abrams ME, Ackerman VL, Engle WA: Primary unilateral pulmonary hypoplasia: neonate through early childhood: case report, radiographic diagnosis and review of the literature. J Perinatol. 2004, 24: 667-670. 10.1038/sj.jp.7211156.CrossRefPubMed
6.
go back to reference Cregg N, Casey W: Primary congenital pulmonary hypoplasia: genetic component to aetiology. Paediatr Anaesth. 1997, 7: 329-333. 10.1046/j.1460-9592.1997.d01-81.x.CrossRefPubMed Cregg N, Casey W: Primary congenital pulmonary hypoplasia: genetic component to aetiology. Paediatr Anaesth. 1997, 7: 329-333. 10.1046/j.1460-9592.1997.d01-81.x.CrossRefPubMed
7.
go back to reference Swischuk LE, Richardson CJ, Nichols MM, Ingman MJ: Primary pulmonary hypoplasia in the neonate. J Pediatr. 1979, 95: 573-577. 10.1016/S0022-3476(79)80773-8.CrossRefPubMed Swischuk LE, Richardson CJ, Nichols MM, Ingman MJ: Primary pulmonary hypoplasia in the neonate. J Pediatr. 1979, 95: 573-577. 10.1016/S0022-3476(79)80773-8.CrossRefPubMed
8.
go back to reference Lytrivi I, Reingold S, Ramaswamy P: Neonatal left pulmonary artery occlusion and postinfarction cysts of the left lung: cause and effect?. Pediatr Cardiol. 2008, 29: 1002-1003. 10.1007/s00246-007-9122-y.CrossRefPubMed Lytrivi I, Reingold S, Ramaswamy P: Neonatal left pulmonary artery occlusion and postinfarction cysts of the left lung: cause and effect?. Pediatr Cardiol. 2008, 29: 1002-1003. 10.1007/s00246-007-9122-y.CrossRefPubMed
9.
go back to reference Stocker JT, McGill LC, Orsini EN: Post-infarction peripheral cysts of the lung in pediatric patients: a possible cause of idiopathic spontaneous pneumothorax. Pediatr Pulmonol. 1985, 1: 7-18. 10.1002/ppul.1950010106.CrossRefPubMed Stocker JT, McGill LC, Orsini EN: Post-infarction peripheral cysts of the lung in pediatric patients: a possible cause of idiopathic spontaneous pneumothorax. Pediatr Pulmonol. 1985, 1: 7-18. 10.1002/ppul.1950010106.CrossRefPubMed
10.
go back to reference Veldman A, Marcel FN, Michel-Behnke I: Thrombosis in the critically ill neonate: incidence, diagnosis and management. Vasc Health Risk Manage. 2008, 4: 1337-1348. Veldman A, Marcel FN, Michel-Behnke I: Thrombosis in the critically ill neonate: incidence, diagnosis and management. Vasc Health Risk Manage. 2008, 4: 1337-1348.
11.
go back to reference Monagle P, Chalmers E, Chan A, DeVeber G, Kirkham F, Massicotte P, Michelson AD, American College of Chest Physicians: Antithrombotic therapy in neonates and children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2008, 133: 887S-968S. 10.1378/chest.08-0762.CrossRefPubMed Monagle P, Chalmers E, Chan A, DeVeber G, Kirkham F, Massicotte P, Michelson AD, American College of Chest Physicians: Antithrombotic therapy in neonates and children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2008, 133: 887S-968S. 10.1378/chest.08-0762.CrossRefPubMed
12.
go back to reference Goldstein JD, Rabinovitch M, Van Praagh R, Reid L: Unusual vascular anomalies causing persistent pulmonary hypertension in a newborn. Am J Cardiol. 1979, 43: 962-968. 10.1016/0002-9149(79)90360-6.CrossRefPubMed Goldstein JD, Rabinovitch M, Van Praagh R, Reid L: Unusual vascular anomalies causing persistent pulmonary hypertension in a newborn. Am J Cardiol. 1979, 43: 962-968. 10.1016/0002-9149(79)90360-6.CrossRefPubMed
13.
go back to reference Moore KL, Persaud TVN, Shiota K: Color Atlas of Clinical Embryology. 2000, Philadelphia: WB Saunders, 13-48. 2 Moore KL, Persaud TVN, Shiota K: Color Atlas of Clinical Embryology. 2000, Philadelphia: WB Saunders, 13-48. 2
Metadata
Title
A neonate with left pulmonary artery thrombosis and left lung hypoplasia: a case report
Authors
Nahed O ElHassan
Christi Sproles
Ritu Sachdeva
Sadaf T Bhutta
Joanne S Szabo
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-284

Other articles of this Issue 1/2010

Journal of Medical Case Reports 1/2010 Go to the issue