Affiliations: [a] Neonatal Intensive Care Unit, Mother and Child Hospital, Mohammed VI University Hospital, Marrakech, Morocco
| [b] Laboratory Childhood, Health and Development, Marrakech Medical School, Cadi Ayyad University, Marrakech, Morocco
| [c] Cardio-Vascular Surgery Center, Arazzi Hospital, Mohammed VI University Hospital, Marrakech, Morocco
Correspondence:
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Address for correspondence: Najwa Imad, Neonatal Intensive Care Unit, Mother and Child Hospital, Mohammed VI University Hospital, Marrakech 40000, Morocco. Tel.: +212 639166935; E-mail: [email protected].
Abstract: BACKGROUND:Aortic thrombosis in neonates is a rare phenomenon, and in most cases iatrogenic. An early recognition of the clinical features and an immediate intervention can offer a better prognosis, and thus preventing morbidity such as limb amputation, and even mortality. METHODS:We present two cases of full-term newborns with a thrombosis of the abdominal aorta hospitalized in the neonatal intensive care unit of Mohammed VI University Hospital in Marrakech in 2017 and 2019. RESULTS:The two patients presented swelling and cyanotic lower limbs. Doppler ultrasound revealed a pathological lower limb blood flow as a result of a thrombosis of the abdominal aorta. Both patients underwent an anticoagulant therapy, the first one benefited from a surgical thrombectomy, he developed a reperfusion syndrome with alveolar hemorrhage, and passed away as a result of a cardiorespiratory arrest. However the second patient got amputated of the right foot, his clinical evolution was favorable with a good healing of the surgical wound without recurrence of any thrombosis. CONCLUSION:Through those cases clinicians should be aware of the first clinical signs of this condition in order to offer a rapid and successful management.
