The placement of an umbilical artery catheter is firmly established as an essential technique in the care of ill neonates. This simple procedure involves well recognized risks. Thrombotic complications are frequently seen with umbilical artery catheter (UAC) placement. The occurrence, however, of an aortic thrombus presenting as classical aortic coarctation has not been reported previously. This report describes two infants with classical symptomatology of coarctation of the aorta who were found instead to have aortic thrombus formation in association with umbilical artery catheter placement.
Get full access to this article
View all access options for this article.
References
1.
Nelson NM, Prod'hom LS, Cherry RB, et al. Pulmonary function in the newborn infant. Perfusion estimation by analysis of the arterial-alveolar carbon dioxide difference. Pediatrics1962;30:975.
2.
Kilterman JA , Phibbs RH, Tooley WHCatheterization of umbilical vessels in the newborn infant. Pediatr Clin North Am1970 ;17:895.
3.
Feinauer LR, Atherton SO, Jung ALHigh vs low placement of umbilical artery catheters. Clin Res1975;28:158A.
4.
Lim MD, Gresham EL, Franken EA, Jr., et al. Osteomyelitis as a complication of umbilical artery catheterization . Am J Dis Child1977;131:142-4.
5.
Krishnamoorthy KS, Fernandez RJ, Todres ID, et al. Paraplegia associated with umbilical artery catheterization in the newborn. Pediatrics1976;56:443-5.
6.
Morten DF, Yogel JM, Adelnam RD, et al. Renovascular hypertension as a complication of umbilical arterial catheterization. Radiology1978;126:751-7.
7.
Bauer SB, Feldman SM, Gellis SS, et al. Neonatal hypertension, a complication of umbilical artery catheterization . N Engl J Med1975;293:1032-3.
8.
Reimold EWArterial hypertension in early infancy. Cardiovasc Med1979;4:297-308.
9.
Tooley WHWhat is the risk of an umbilical artery catheter? Pediatrics1972;50:1-2.
Neal WA, Reynolds JW, Jarvis CW, et al. Umbilical artery catheterization: demonstration of arterial thrombosis by aortography. Pediatrics1972 ;50:6-13.
12.
Williams HJ , Jarvis CW, Neal WA, et al. Vascular thromboembolism complicating umbilical artery catheterization. Am J Roentgenol Rad Ther Nucl Med1972;116:475-486.
13.
Goetzman BW , Stadalnik RC, Bogren HG, et al. Thrombotic complications of umbilical artery catheters. A clinical and radiographic study. Pediatrics1975;56:374-9.
14.
Brady BDNeonatal arterial thromboses and embolism. Surgery1965;58:869-73.
15.
Formanek G. , Frech RS, Amplatz K.Arterial thrombus formation during clinical percutanious catheterization. Circulation1970;41:833-9.
16.
Fon Kalsrud EW, Murphy J., Smith FG Jr.Effect of pH glucose infusion on development of thrombophlebitis. J Surg Res1968;8539-43.
17.
Schmidt B., Andrew M.Neonatal thrombotic disease: Prevention, diagnosis, and treatment. J Pediatr1988;113:407.
18.
Cochran WD, Davis MT, Smith CAAdvantages and complications of UAC in the newborn. Pediatrics1968;42:769.
19.
Gupta JM, Robertson Nrc, Wigglesworth JSUAC in the newborn. Arch Dis Child1968;43:382.
20.
Symasky MR, Fox HAUmbilical vessel catheterization. Indications, management and evaluation of the technique. J Pediatr1977;80:820.
21.
Finnstron D. , Stenport G.Umbilical artery catheterization in newborn . Acta Paediatr Scand1979;68:575-81.
22.
Olinsky A., Aitkan FG, Isdale JMThrombus formation after umbilical arterial catheterization. An Angiographic Study. S Afr Med J1975;49:1497.
23.
Harris MS, Little GAUmbilical artery catheters: High or low. J Perinat Med1978;6:15.
24.
Mokronhisky ST, Levine RL, Blumhagm JD, et al. Low position of umbilical artery catheters increases associated complications in newborn infants. N Engl J Med1978;299:561.
25.
Ahmadi A., Furste MOCongenital thrombaortitis with complete obliteration of the aortic arch and the great vessels. Thorac Cardiovasc Surg1983;31:256-9.
26.
Scott WA, Snider AR, Dick M., et al. Congenital aortic arch thrombosis diagnosed by echocardiography . Am J Cardiol1987;59:458-86.
